bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cognitive Decline among Older Adults who Developed Acute Coronary Syndrome During Hospitalization for Non-cardiac Illness
Authors: Vijayakumar Priya , David Arun , Vijayakumar M. 
Published: August 2023

Background:
Atypical presentations of acute coronary syndrome (ACS) delay its recognition and treatment in the elderly patients. Functional decline and delirium which are common to the elderly during hospitalization, leads to cognitive impairment and poor health outcomes. Steps taken for its prevention is usually not considered the top priority by the cardiologist. The present study was conducted to identify cognitive decline among elderly patients who developed ACS during hospitalization for noncardiac illness and their outcome.

Materials and Methods:
Three hundred and ten elderly patients above 60 years of age with ACS were included from June 26, 2020 to October 13, 2020. Subjects were divided into those admitted primarily due to an ACS (Group I, n = 94) and those developing ACS following admission for noncardiac illness (Group II, n = 216). Co-morbidities, medications, investigations, management, clinical outcome, and Montreal Cognitive Assessment scale were compared between the two groups at the time of admission, after 30 days and after 6 months.

Results:
Majority of the subjects were admitted due to acute kidney injury (27.1%) in Group II and had a non-ST elevation ACS (90.2%). Optimum management was given to a lesser extent due to the clinical condition of these patients. Poor clinical outcome, cognitive impairment during hospitalization and cognitive decline during follow-up was more in Group II.

Conclusion:
Clinicians must be vigilant for the development of cognitive impairment and cognitive decline when an elderly patient is admitted to the hospital, as early detection and optimum management provides better clinical and cognitive outcome.
Ethical Considerations of Climate Justice and International Air Travel in Short-Term Electives in Global Health
Authors: Dhawan Adriana , Rammelkamp Zoe , Kayandabila Johnstone , Surapaneni Vishnu Laalitha 
Published: August 2023

ABSTRACT.
In July 2022, the American Society of Tropical Medicine and Hygiene Green Task Force advocated to acknowledge the health impacts of climate change, particularly on those in low- and middle-income countries, and called on global health organizations to act. Simultaneously, academic medical centers are resuming Short-Term Electives in Global Health (STEGH) as travel restrictions imposed during the COVID-19 pandemic ease in most countries. International flights by trainees from academic medical centers in high-income countries (HIC) on these electives encapsulate the climate injustice of who generates carbon emissions and who bears the impacts of climate change. Using “decolonization” and “decarbonization” as guiding principles, we suggest several strategies that global medical education programs in HIC could implement. First, restructure rotations to halt STEGH with minimal benefit to host institutions, optimize trainee activities while abroad, and lengthen rotation duration. Second, programs can calculate the carbon impact of their STEGH and implement concrete measures to cut emissions. Finally, we urge academic medical centers to promote climate-resilient healthcare infrastructure in host countries and advocate for climate solutions on the global stage.
Resurgence of Malaria Transmission and Incidence after Withdrawal of Indoor Residual Spraying in the District of Koulikoro, Mali
Authors: Keïta Moussa , Sissoko Ibrahim , Sogoba Nafomon , Konaté Moussa , Diawara Sory Ibrahim , Kané Fousseyni , Thiam Salif , Touré Mahamoudou , Konaté Drissa , Diakité Mahamadou , Beier John C. , Doumbia Seydou 
Published: August 2023

ABSTRACT.
In Mali, malaria vector control relies mostly on long-lasting insecticidal nets and indoor residual spraying (IRS). From 2008 to 2016, an IRS program was implemented in the district of Koulikoro. After a significant reduction in malaria indicators, IRS was stopped in 2016. This study evaluated the effect of IRS withdrawal on entomological parameters of malaria transmission and incidence in children aged 6 months to 10 years in the district of Koulikoro. Entomological parameters of malaria transmission during the last year of IRS implementation in 2016 were compared with those obtained 2 years after IRS withdrawal in 2018 in two villages of Koulikoro. Mosquito vectors were collected by mouth aspiration and pyrethrum spray catches in the villages to monitor these transmission parameters. A sharp increase (10.8 times higher) in vector abundance after IRS withdrawal was observed. The infection rate of Anopheles gambiae sensu lato to Plasmodium falciparum increased from zero during IRS implementation to 14.8% after IRS withdrawal. The average entomological inoculation rate, which was undetectable before, was 1.22 infected bites per person per month 2 years after IRS was withdrawn, and the cumulative malaria incidence rate observed after IRS was 4.12 times (15.2% versus 3.7%) higher than that observed in 2016 in the villages before IRS withdrawal. This study showed a resurgence of malaria transmission and incidence in the Koulikoro health district after IRS was withdrawn. Thus, to manage the potential consequences of malaria transmission resurgence, alternative approaches are needed when stopping successful malaria control interventions.
Retrospective Review of Blood Culture-Confirmed Cases of Enteric Fever in Navi Mumbai, India: 2014–2018
Authors: Jayaprasad Niniya , Borhade Priyanka , LeBoa Christopher , Date Kashmira , Joshi Shrikrishna , Shimpi Rahul , Andrews Jason R. , Luby Stephen P. , Hoffman Seth A. 
Published: August 2023

ABSTRACT.
India has one of the highest estimated burdens of enteric fever globally. Prior to the implementation of Typbar-TCV typhoid conjugate vaccine (TCV) in a public sector pediatric immunization campaign in Navi Mumbai, India, we conducted a retrospective review of blood culture-confirmed cases of typhoid and paratyphoid fevers to estimate the local burden of disease. This review included all blood cultures processed at a central microbiology laboratory, serving multiple hospitals, in Navi Mumbai (January 2014–May 2018) that tested positive for either Salmonella Typhi or Salmonella Paratyphi A. Of 40,670 blood cultures analyzed, 1,309 (3.2%) were positive for S. Typhi (1,201 [92%]) or S. Paratyphi A (108 [8%]). Culture positivity was highest in the last months of the dry season (April–June). Our findings indicate a substantial burden of enteric fever in Navi Mumbai and support the importance of TCV immunization campaigns and improved water, sanitation, and hygiene.
Post-Discharge Risk of Mortality in Children under 5 Years of Age in Western Kenya: A Retrospective Cohort Study
Authors: Kwambai Titus K. , Kariuki Simon , Smit Menno R. , Nevitt Sarah , Onyango Eric , Oneko Martina , Khagayi Sammy , Samuels Aaron M. , Hamel Mary J. , Laserson Kayla , Desai Meghna , ter Kuile Feiko O. 
Published: August 2023

ABSTRACT.
Limited evidence suggests that children in sub-Saharan Africa hospitalized with all-cause severe anemia or severe acute malnutrition (SAM) are at high risk of dying in the first few months after discharge. We aimed to compare the risks of post-discharge mortality by health condition among hospitalized children in an area with high malaria transmission in western Kenya. We conducted a retrospective cohort study among recently discharged children aged < 5 years using mortality data from a health and demographic surveillance system that included household and pediatric in-hospital surveillance. Cox regression was used to compare post-discharge mortality. Between 2008 and 2013, overall in-hospital mortality was 2.8% (101/3,639). The mortality by 6 months after discharge (primary outcome) was 6.2% (159/2,556) and was highest in children with SAM (21.6%), followed by severe anemia (15.5%), severe pneumonia (5.6%), “other conditions” (5.6%), and severe malaria (0.7%). Overall, the 6-month post-discharge mortality in children hospitalized with SAM (hazard ratio [HR] = 3.95, 2.60–6.00, P < 0.001) or severe anemia (HR = 2.55, 1.74–3.71, P < 0.001) was significantly higher than that in children without these conditions. Severe malaria was associated with lower 6-month post-discharge mortality than children without severe malaria (HR = 0.33, 0.21–0.53, P < 0.001). The odds of dying by 6 months after discharge tended to be higher than during the in-hospital period for all children, except for those admitted with severe malaria. The first 6 months after discharge is a high-risk period for mortality among children admitted with severe anemia and SAM in western Kenya. Strategies to address this risk period are urgently needed.
Case Report: Semi-Ex Vivo Hepatectomy Combined with Autologous Liver Transplantation for Alveolar Echinococcosis in Children
Authors: Xia Pan , Wang Xiang-Qian , Tian Qing-Shan , Shang-Guan Chao-Liang , Zhu Hai-Hong 
Published: August 2023

ABSTRACT.
Hepatic alveolar echinococcosis (AE) is a zoonotic disease caused by the metacestode of Echinococcus multilocularis. Although surgical resection is the optimal treatment for hepatic AE, some patients with hepatic AE located in special introhepatic sites cannot be radically cured by conventional surgery. Here, we report that a 10-year-old female patient was admitted to the hospital with occupying liver lesions for 6 months. Computed tomography examination showed irregular mixed-density masses in the right lobe and caudate lobe of the liver, with partial invasion of the right hepatic artery, right hepatic vein, and right branch of the portal vein. The patient was preoperatively diagnosed with hepatic AE, which cannot be cured by conventional liver lobectomy. The patient underwent semi-ex vivo liver resection with autologous liver transplantation (second hepatic portal reconstruction, posterior hepatic inferior vena cava repair, and hepatic artery repair) and biliary-intestinal anastomosis. After hospital discharge, she has kept living a healthy life without disease recurrence for 13 months until the end of the last follow-up. This case shows that semi-ex vivo hepatectomy with autologous liver transplantation might be a feasible and safe choice for certain patients with AE located in special introhepatic sites, which has provided novel experiences for the surgical treatment of hepatic AE.
Developing Task Persistence Skills in College Students with Hard of Hearing Using Strategic Content Learning
Authors: Onyishi Charity Neejide 
Published: August 2023

Poor task persistence is a major inhibitor of effective learning among students with hearing impairment. This study investigated the effect of strategic content learning (SCL) on poor task persistence of students with hearing loss in Nigeria. The study adopted a pretest-posttest control group design. A total of 117 participants from four special schools for hearing impaired in South-East Nigeria completed a task persistence scale at pre-treatment, post-treatment, and follow-up. Intervention was carried out for nine weeks using strategic content learning program manual. Data collected were analyzed using repeated-measures analysis of variance, chi-square, and t-test. Results revealed that task persistence of hearing impaired college students of SCL group were significantly improved compared to those in waitlist control group at the end of the intervention. Follow-up tests conducted after three months and six months revealed that the significant improvement in task persistence of participants in the experimental group was sustained. Result of the current study show that SCL is an effective strategy straining approach that can improve students’ task persistence in different areas of learning. Further studies could be conducted in Nigeria and other countries to investigate the efficacy of SCL in improving self-efficacy and volition among diverse populations of students.
The Effect of Etnographic-Based Outdoor Learning Methods on Learning Activities Class V Elementary School in Social Sciences
Authors: Primaniarta M Gita , Subroto Waspodo Tjipto , Jacky M 
Published: August 2023

he ethnographic-based Outdoor learning method is a learning method that conducts learning outside the classroom with a cultural approach in an area. The purpose of this study was to determine the effect of the Outdoor learning method on the activities of fifth grade students. The type of experimental method used is True-experimental through the Posttest Only Control Group Design procedure. The population used was class V at SDN Sidotopo Wetan IV and SDN Sidotopo Wetan V. Trials of questionnaire validation tests for 32 respondents with the provisions of tcount>ttable decided that 10 questionnaire were validated and reliable. The class prerequisite test uses the year-end assessment value using the homogeneity test through SPSS 25 with a value of 0.105>0.005 so that it is homogeneous. Testing the hypothesis through the T-test on the analysis of learning activities using numbers obtained a value of 0.002<0.05 so that Ha decision was accepted. . Based on the results of the study, it can be interpreted that the Ethnographic-Based Outdoor learning method has a positive and significant effect on the activities learning of fifth grade students.
Faktor-Faktor Yang Mempengaruhi Efektivitas Pengelolaan Keuangan Daerah Pada Pemerintah Kota Payakumbuh
Authors: Tetty Tetty , Putri Anne 
Published: August 2023

Penelitian ini betujuan untuk mengetahui dan menganalisis pengaruh Kompetensi Sumber Daya Manusia, Pengawasan Fungsional, Sistem Pengendalian Internal Pemerintah (SPIP) dan Sistem Akuntansi Keuangan Daerah (SAKD) terhadap Efektivitas Pengelolaan Keuangan Daerah pada pemerintah kota Payakumbuh. Penelitian ini dilakukan pada Pemerintah Kota Payakumbuh sebanyak 93 responden yang dijadikan sampel dengan menggunakan analisis Structural Equation Modeling SEM PLS dan pengujian SEMPLS ini menggunakan aplikasi SmartPLS. Hasil penelitian uji hipotesis menunjukkan bahwa kompetensi sumber daya manusia dan system pengendalian internal pemerintah berpengaruh positif signifikan, sedangkan pengawasan fungsional dan system akuntansi keuangan daerah tidak berpengaruh terhadap efektivitas pengelolaan keuangan daerah pada pemerintah kota Payakumbuh.
A EFICÁCIA DA BUPRENORFINA TRANSDÉRMICA NO TRATAMENTO DA DOR AGUDA
Authors: Cristina de Souza Abdala Rosângela , Mendonça Rocha Carollayne , Tochihide Iamaguti Felipe , Rezende Corrêa Gabriela , Lourenço Migliori Campos Gustavo , Pereira Matheus , Lima Penaforte Pedro Henrique , Lopes Carvalho da Silva Ygor , Ferreira da Silva Thiarles , Fonseca de Oliveira Ana Flávia 
Published: August 2023

A dor continua sendo o motivo mais comum de procura de atendimento em serviços de emergência. A buprenorfina transdérmica é um adesivo opoide que adere à pele e libera o analgésico durante um período de vários dias. Objetivos: identificar se a buprenorfina transdérmica é eficaz no tratamento da dor aguda. Materiais e métodos: Trata-se de uma revisão integrativa, a questão norteadora foi “A buprenorfina transdérmica é eficaz no tratamento da dor aguda?”. A busca pelos artigos ocorreu nas principais bases de dados a partir dos termos “efficacy”, “transdermal buprenorphine” e “acute pain”, combinados entre si por operadores booleanos. Resultados e discussão: A buprenorfina é um opioide sintético que atua como agonista parcial nos receptores opioides mu e como antagonista nos receptores kappa e delta. Pesquisas revelaram que ela tem um efeito teto e é 75 a 100 vezes mais potente que a morfina. Observou-se que o momento da primeira necessidade de analgésico de resgate no pós-operatório foi atrasado no grupo que fez uso de buprenorfina transdérmica em comparação com o grupo placebo. A maioria dos estudos concluiu que a buprenorfina transdérmica diminui o consumo de analgésicos no pós-operatório. A maioria dos estudos na revisão sistemática não mostra aumento nas reações adversas a medicamentos. Conclusão: A buprenorfina tópica pode ser usada com segurança em pacientes, sendo um método confiável e econômico de controlar a dor aguda, ela é 75 a 100 vezes mais potente que a morfina e é bem tolerada em altas doses.
Ozonioterapia: alternativa para tratamento de dor e emagrecimento
Authors: Pinheiro Bruna Maia , Sodré de Lima Claudia Roberta , Basílio Soares Luciana , De Farias Martins Marta Érica , Pinto da Costa Monique , Soares Verônica , Tardit da Silva Ingrid 
Published: August 2023

O presente artigo trata do uso da ozonioterapia no tratamento da dor e aborda seu uso como alternativa, também para o emagrecimento. As duas abordagens se encontram à medida que emagrecer também pode resultar na melhora acentuada de dores crônicas. Mostra-se fundamental compreender que dor é uma das sensações mais comuns e perturbadoras que os seres humanos experimentam, afetando significativamente a qualidade de vida e limitando as atividades diárias. Muitas dores, tanto físicas quanto emocionais, também se relacionam com a adiposidade. Metodologicamente, o trabalho qualifica-se como uma pesquisa bibliográfica, logo fora realizado a partir de levantamento de material com informações já examinadas e publicadas. O resultado obtido leva a conclusão de que a ozonioterapia tem eficácia científica comprovada no tratamento das dores diversas e sua eficácia, no cuidado da adiposidade, ainda que significativa, está em fase de aprimoramento científico.
ANALISIS DETEKSI FRAUD LAPORAN KEUANGAN DENGAN METODE BENEISH M-SCORE (STUDI KASUS PT BANK TABUNGAN NEGARA PERSERO TBK)
Authors: Trusty Hanna , Fithrayudi Triadmaja Muhammad 
Published: August 2023

The financial statements present important disclosures in maintaining the quality of the capital market also explain the current state of the company and its going concern in the future. However, many financial reports are disclosed as misstatements due to manipulation, falsification, and fraud by changing the value and financial information. Self-detection of financial statement fraud is an important matter that must be prioritized. This study uses the Beneish M-Score model to detect potential manipulation of annual financial reports with case study in PT Bank Tabungan Negara (BTn) Persero Tbk for the 2017-2019 book year.
Based on the results of data processing, the M-Score value of the company’s financial statement in 2017, 2018, and 2019 respectively was -2,16; -2,20; and -1,87. Those value were greater than the reference value was -2,22. So it can be concluded that based on this model there was potential for manipulation in PT BTN Persero Tbk’s financial statements. The Beneish M-Score model is used to detect potential financial statement fraud or income manipulation in the company’s financial statements. Moreover this model is very useful for shareholders, investors, and creditors to examine the fairness of company’s financial statement.
Keywords : Beneish M-Score, Fraud, Financial Statement, Bank BTN Persero Tbk
Prosódia dialetal e estruturas sintáticas: resultados preliminares sobre a materialização do desgarramento nos falares de João Pessoa e de Porto Alegre
Authors: Silvestre Aline Ponciano dos Santos , Mota Fernando Lima da , Mendonça Rafaela Ribeiro , Santos Yasmim Delfino dos 
Published: August 2023

Este artigo investiga a realização prosódica de orações adverbiais anexadas à oração matriz e de orações desgarradas nos falares de João Pessoa e de Porto Alegre, com base nos pressupostos da Fonologia Prosódica (Nespor; Vogel, 2007) e no modelo Autossegmental e Métrico da Fonologia Entoacional (Pierrehumbert, 1980; Ladd, 2008). O corpus de análise é constituído por 720 orações – 360 de cada localidade – e foram observados o contorno melódico, a duração e a gama de variação da F0 no fim do sintagma entoacional (IP). O estudo do fenômeno na fala de indivíduos pessoenses e portoalegrenses visa, além de descrever se o desgarramento será materializado de forma semelhante ao descrito por Silvestre (2021) para a capital fluminense, observar se traços fonéticos regionais, descritos anteriormente em estudos prosódicos sobre orações assertivas neutras (Cunha, 2000; Lira, 2009; Silva, 2011; Silvestre 2012; Castelo, 2016), também se manifestam nas orações desgarradas de João Pessoa e de Porto Alegre ou se são neutralizados pela construção sintática específica. Os resultados revelam que o alongamento das sílabas finais é característica importante para a materialização do fenômeno de desgarramento em todos os dialetos estudados e que há, mesmo nesta estrutura sintática específica, índices relativos à prosódia regional. Em João Pessoa, é consistentemente observado o tom H+L* no início dos IPs e subida melódica na última sílaba pós-tônica dos enunciados. Em Porto Alegre, é frequente a fronteira bitonal HL% no fim do IP, com descida melódica após a sílaba tônica, característica que parece diferenciar o falar na capital gaúcha.
Management of emergency department diversion during the COVID-19 pandemic and disaster periods
Authors: Steflovich Michael 
Published: August 2023

Background: Recent news has shown the strain on hospital emergency departments (EDs) and emergency medical services agencies due to the surge of COVID-19; however, compared to all emergency medical service transports, is it true that the United States is seeing an increase in the frequency of diversions? In this quantitative research report, data were collected and analyzed from a national prehospital emergency medical services information system, which allowed for a comparison of the frequency of diverted ambulances, transport times, and final patient acuity of patients arriving by diverted ambulances before and during the COVID-19 pandemic. Statistical analysis was performed on data obtained from the National Emergency Medical Services Information System to compare the frequency of ambulance diversion prior to the COVID-19 disaster and during COVID-19.
Findings: Analysis of data obtained from the National Emergency Medical Services Information System found that there was not a significant increase in the percentage of ambulance transports that were diverted during the COVID-19 pandemic compared to before the pandemic. However, there were significant increases in the volume of all transports and diverted transports during the COVID-19 pandemic (p < 0.01 for both measures).
Conclusion: The significant increases seen in the demand for services, combined with an overall downward trend in the number of healthcare facilities, have resulted in an increase in the volume of diversions, despite the overall demand increasing as well. The COVID-19 pandemic serves as a disaster/public health crisis that is subject to the same phases compared to other types of disasters. The significant findings of this report should provide the emergency services field a big picture, understanding that the problem at hand is multifaceted, with these findings shining light on the effects of current issues between emergency services and hospital EDs.
الكلام الخبري في سورة يوسف (دراسة تحليلة بلاغية)
Authors: Aini choirunnisa Eshas , Azhari Faiz , Yulianti Yulianti 
Published: August 2023

Abstract
Understanding the science of balaghah for Muslims if they want to know and understand that i'jaz of the Qur'an is important. Kalam Alkhabari is one of the materials that must be understood because if we want to understand the purpose of Kalam alkhabari which is in the verses of the Qur'an except by Balagha analysis. Therefore, this research has 3 objectives; 1. To know the verse containing Kalam alkhabari in Surah Yusuf 2. To know the kinds of Kalam alkhabari in Surah Yusuf 3. To know the purpose of Kalam alkhabari contained in Surat Yusuf. The analytical descriptive qualitative is employed in this research. The object of study in this study is kalam Alkhabari in Surat Yusuf. The data sources in the study are divided into primary resources, namely the Qur'an Al Karim and secondary data sources, namely books related to the title of the study. The documentation method was used in collecting the data. This study showed show that in 25 verses in Surat Yusuf there are 43 Kalam alkhabari consisting of 24 kalam alkhabari Al ibtidai, 12 kalam thalaby, and 7 kalam inkary
Keywords : balaghah, kalam al khabari, surah yusuf