bluuebunny/crossref_metadata_2025_split huggingface dataset:
KETAHANAN KELUARGA PADA PASANGAN SUAMI ISTRI DISABILITAS SENSORIK DI KOTA SEMARANG
Authors: Cantika Candle Clara , Anggreini Devina Putri , Sidik Ghofar 
Published: July 2023

Artikel ini hasil penelitian bagaimana ketahanan keluarga pasangan disabilitas sensorik di Kota Semarang. Kehidupan pasangan disabilitas sensorik. Metode yang digunakan adalah metode penelitian kualitatif deskriptif yang memberikan deskripsi tentang kondisi kehidupan pasangan difable dalam mempertahankan kehidupan keluarganya. Data primer diambil dari pengamatan, wawancara dengan enam pasangan disabilitas sensorik di kota Semarang dengan kreteria tunarungu, tunawicara dan tunanetra dibawah naugan yayasan Semar Cakep. Adapun indikator yang diteliti adalah ketahanan psikologis, fisik, sosial, dan ekonomi. Hasil penelitian menunjukan bahwa cara bagaimana mempertahankan keluarga yaitu harus adanya kesesuaian antara suami isteri, harus memiliki rekan antara suami isteri, saling mendukung dan saling memahami antara satu sama lainnya. Adapun faktor yang mendukung pasangan suami isteri disabilitas dalam ketahanan keluarga adalah karena saling memahami keterbatasan fisik yang sama-sama dimiliki menjadi penguat keharmonisan rumah tangga mereka. Untuk menajaga ketahanan ekonomi keluarga, ditengah keterbatasan pasangan disabilitas sensorik tetap berusaha untuk mengembangkan keterampilan menjadi penjahit, pemijat, dan melakukan pesan antar makanan. Yang membedakan adalah mengenai dalam segi psikologis bagaimana cara mereka dalam mewujudkannya komunikasi yang baik dan mengatasi segala masalah yang timbul dalam keluarga, keduanya harus saling mengalah antara satu sama lain. Penelitian ini dapat menjadi perhatian pemerintah dan masyrakat bahwa pentingnya pendampingan dan penguatan bagi pasangan disabilitas khususnya sensorik dalam melangsungkan rumah tangga mereka sehingga dapat terus harmonis ditengah keterbatasan fisik mereka.
ВЛИЯНИЕ БИОЛОГИЧЕСКИХ ПРЕПАРАТОВ И КОМПЛЕКСНЫХ ЖИДКИХ УДОБРЕНИЙ НА ЭЛЕМЕНТЫ СТРУКТУРЫ УРОЖАЯ РИСА В КАЗАХСТАНСКОМ ПРИАРАЛЬЕ
Authors: Ыбрайкожа Нуржан , Токтамысов Асет , Сагиндыкова Эльвира , Семирханова Диана , Серикбаева Айгул 
Published: July 2023

Все большую популярность у земледельцев Приаралья приобретает сегодня применение жидкого биологического удобрения, содержащее микроэлементы. Биологическое удобрение имеет нейтральную или слабощелочную реакцию, не загрязнено техногенными радионуклидами, невзрывоопасно. Низкая температура кристаллизации – 2°С и замерзания –26°С – позволяет транспортировать жидкое биологическое удобрение круглый год так же, как и хранить, особенно, в заглубленных в почву утепленных хранилищах из бетона и асфальта с внутренним покрытием из пленки. Сотрудниками института рисоводства были проведены исследования по эффективности жидких удобрений и изучено их влияние на повышение урожайности риса. Установлено, что применение жидких удобрений перед посевом и во время вегетации риса совместно с минеральными удобрениями значительно повышало урожайность культуры, которая варьировала в пределах 3,9-5,7 т/га по вариантам. Урожайность риса сорта «Сыр Сулуы» повышалась при применении перед посевом и во время вегетации жидкими биоудобрениями на 0,2-0,3 т/га, а при совместном применении с минеральными урожайность повышалась на 1,9-2,0 т/га. В связи с этим, рекомендуем комплексно использовать биоудобрения (NaCle и Фитоп 8.67) с минеральными удобрениями. Также в статье приведены результаты исследования изучения эффективности биоудобрений Nacle и Фитоп 8.67‑8 на посевах риса в Приаралье. Существенных различий в эффективности Nacle и Фитоп 8.67 8 не отмечено. Для достижения максимальной эффективности применять Nacle и Фитоп 8.67‑8 необходимо в сочетании с внесением до посева азотного и фосфорного удобрения из расчета N90P60, т. к. при такой системе удобрения рисового агроценоза (N90P60 + Nacle 2 л/т семян + Nacle 2 л/га в кущение + 2 л/га в выметывание и N90P60 + Фитоп 8.67‑8 2 мл/т семян + Фитоп 8.67‑8 в кущение 1 л/га + Фитоп 8.67‑8 в выметывание 1 л/га) эффективность как биоудобрений, так и азотно-фосфорного удобрения значительно возрастает, обеспечивая увеличение урожайности риса на 1,9-2,0 т/га (51,4–54,1 %).
ТАМАҚ ӨНЕРКӘСІБІ КӘСІПОРЫНДАРЫНЫҢ ӨНДІРІСІНЕ ИННОВАЦИЯНЫҢ ӘСЕРІ
Authors: Мухаметжанова Жадыра , Дауренбекова Асима , Каримова Мадина , Жолдасова Гульфира , Мухаметжанова Жанар 
Published: July 2023

Мақалада Қазақстандағы тамақ өнеркәсібі кәсіпорындарындағы инновациялардың (өндірістік, процесстік, ұйымдастырушылық, маркетингтік) еңбек өнімділігіне әсері қарастырылған. Жалпы елімізде тамақ өнеркәсібінің кәсіпорындарында инновация мен кәсіпорын өндірісі арасындағы байланысқа жеткіліксіз көңіл бөлінген.
Зерттеу және талдау кезінде пайдаланылған деректер Бизнес ортасы мен кәсіпорынның тиімділігіне сауалнамадан (BEEPS V) және Еуропалық қайта құру және даму банкінен алынған. Сондай-ақ 2016-2018 жылдарға арналған Қазақстанның тамақ өнеркәсібінің шағын және орта кәсіпкерлік субъектілері арасында жүргізілген сауалнама нәтижелері назарға алынды.
Мақалада заманауи аналитикалық зерттеу әдістері, оның ішінде эконометрикалық және статистикалық әдістер, алынған нәтижелерді талдау және салыстыру әдістері қолданылады. Мақалада эконометрикалық талдау, модельдеу және бағалау нәтижелері қарастырылды. Қазақстандағы тамақ өнеркәсібінің шағын және орта кәсіпорындарының (ШОК) өнімділігіне инновацияның, инвестицияның, сондай-ақ ғылыми-зерттеу және тәжірибелік-конструкторлық жұмыстардың (ҒЗТКЖ) оң әсері анықталды.
Gretl бағдарламасы арқылы құрылған эконометриялық модель негізінде инновациялар (өнімдік және процесстік) ішкі шығындар ҒЗТКЖ-ға, патенттерге және фирма көлеміне оң әсер етеді. Сонымен қатар, фирманың көлеміне оң (әлсіз) әсер ететін инновациялар (ұйымдастырушылық және маркетингтік) анықталды.
Е­лімізде и­нновациялық б­елсенділік д­еңгейін а­рттыру ү­шін т­амақ ө­неркәсібі к­әсіпорындары ө­з қ­ызметін ж­аңа н­емесе ж­етілдірілген ө­німдерді ш­ығаруды к­еңейтуге, ж­аңа т­ехнологияларды қ­олдану а­рқылы н­арықта б­әсекеге қ­абілетті ж­оғары с­апалы ө­нім ө­ндіруге б­ағытталуы қ­ажет.
CALIDAD DE SERVICIO COMO FACTOR DE LA SATISFACCIÓN DE LOS CONSUMIDORES DE GAS DOMÉSTICO
Authors: Cruz Tarrillo Jose Joel 
Published: July 2023

El presente informe estuvo direccionado a determinar la relación existente entre calidad de servicio (CS) y la satisfacción del consumidor (SC) de GLP en la empresa Vulcanogas-Morales,2022. Con la finalidad de responder a su objetivo, el estudio se caracterizó por ser de tipo básico, nivel cuantitativo, diseño no experimental y de corte transversal; la muestra estuvo constituida por 200 clientes de la empresa Vulcanogas-Morales. Para efectuar la recopilación de la información requerida, se utilizó la encuesta como técnica y dos cuestionarios como instrumentos, los mismos que fueron evaluados por tres expertos para acreditar su validez y para comprobar su confiabilidad se utilizó coeficiente alfa de Cronbach, Los resultados conseguidos evidenciaron que entre CS y la SC existe relación significativa (Ï = .000) y la correlación positiva perfecta (Rho = .939), asimismo de acuerdo con la percepción de los consumidores el rendimiento percibido es aceptable en un 60 %, expectativas en un 60% y niveles de satisfacción en un 67%.En conclusión, a cuanto más esfuerzo realice la empresa por alcanzar la CS , mayor será la complacencia del cliente.
The Luminosity–Area Relation of z > 2 Quasars’ Lyα Nebulae
Authors: Arrigoni Battaia Fabrizio , Obreja Aura , Costa Tiago , Farina Emanuele P. , Cai Zheng 
Published: July 2023

Abstract
Cool (T ∼ 104 K) gas is commonly observed around z > 2 quasars as traced by extended Lyα emission. These large-scale nebulae are usually studied using circularly averaged surface-brightness profiles, which suppress information on morphological differences. Here, we revisit the Lyα nebulae around 78 z ∼ 2–3 quasars to obtain a novel estimate of their area and asymmetry using a common redshift-corrected surface-brightness threshold. We find a luminosity–area relation of the form

log
(

L

Ly
α

Neb

)
=

a

1

log
(

Area

Neb

)
+

a

0

. Most nebulae are symmetric and bright, the most lopsided ones being the faintest and less extended. The enormous Lyα nebulae, asymmetric due to the presence of active companions, are the exceptions to this trend. By using simulations able to reproduce z ∼ 6 quasars’ nebulae, we show that the observed relation should not vary with redshift. Finally, we discuss possible mechanisms that drive the relation and future work needed to constrain them.
The clinical significance of SNAIL, TWIST, and E-Cadherin expression in gastric mesentery tumor deposits of advanced gastric cancer
Authors: Wu Haiyan , Chen Yanping , Lin Huimei , Xu Yanchang , Guo Zipei , Li Zhixiong 
Published: July 2023

ABSTRACT

Objective:
To explore the relationships among the epithelial to mesenchymal transition (EMT)-related factors (SNAIL, TWIST, and E-Cadherin) and clinicopathological parameters and gastric mesangial tumor deposits (TDs) in advanced gastric cancer (AGC) patients and their value in gastric cancer prognosis judgment.

Materials and Methods:
The data of 190 patients who underwent radical resection of ACG were analyzed retrospectively, including 75 cases of TDs (+) and 115 cases of TDs (-). The expression of EMT-related transforming factors Snail, Twist, and E-cadherin in the primary tumor, paracancerous normal tissues, and TDs was detected by immunohistochemistry.

Results:
SNAIL and TWIST were overexpressed in primary tumors and TDs, whereas E-Cadherin was down-expressed in primary tumors. SNAIL was correlated significantly with tumor differentiation, lymph node metastases, and TDs (P < 0.05); TWIST was correlated strongly with tumor location, lymph node metastases, and TDs (P < 0.05); E-Cadherin was correlated closely with tumor differentiation and lymph node metastases (P < 0.05). Kaplan-Meier curves showed that SNAIL expression was correlated with DFS (P < 0.05), and TWIST expression was correlated with OS (P < 0.05). Tumor differentiation, lymph node metastasis, and TWIST expression were prognostic-independent risk factors of AGC patients (P < 0.05).

Conclusion:
The occurrence and development of gastric cancer and the formation of TDs may be related to EMT, analyzing the expression of EMT-related transforming proteins may be helpful to judge the prognosis of gastric cancer.
The effect of curcuma longa extract and significance of mordant as an alternative for eosin in H and E: A comparative study
Authors: Rubina M. P , Sukesh  , Soumya V. , Mohammed Safeer T. K , Riyas Basheer K. B. 
Published: July 2023

ABSTRACT

Background and Aim:
Hematoxylin and Eosin (H and E) staining is a common and routine staining method used in Histopathology. In origin, Hematoxylin is natural and Eosin is a synthetic dye. Synthetic dyes are widely accepted due to its staining efficiency. However, due to synthetic and toxic properties, natural alternatives have gained importance. In this present study, Curcuma Longa rhizome (Turmeric) extract with and without mordant are examined as a natural substitute for Eosin in H and E staining. This study assessed the staining quality of Turmeric (H and T) compared to Eosin (H and E) and the significance of mordant in H and T staining.

Materials and Methods:
A comparative study is conducted in a Histopathology laboratory in a tertiary care hospital. Five tissue specimens were collected and stained with H and T with mordant, H and T without mordant, and conventional H and E stain. Two independent pathologists examined the quality of each stain. The results are graded as excellent, good, and poor. These results are statistically compared and analyzed.

Result:
Staining quality of Turmeric and Eosin are comparable to each other. At the same time, Turmeric gives yellow color instead of pink in Eosin. The result also shows that the addition of mordant in Turmeric significantly improves the staining quality.

Interpretation and Conclusion:
Turmeric with mordant can be used as an alternative stain to synthetic Eosin in H and E staining.
Case report of a rare fungal infection Kodamaea ohmeri in COVID-19 patient in North Malaysian hospital
Authors: Farooq Humaira , Sabesan Gokul Shankar , Monowar Tahmina , Chinni Suresh V. , Zainol Noor H. 
Published: July 2023

ABSTRACT

Kodamaea ohmeri is a rare opportunistic pathogen belonging to Saccharomycetes family. This yeast was also formerly known as Yamadazyma ohmeri or Pichia ohmeri. This opportunistic pathogen causes illness that typically affects people with impaired immune system. In this report, we discuss a fatal case involving a woman in her late 30s who was admitted to the hospital on the sixth day of her sickness after being given a COVID-19 Category 5A diagnosis. For COVID-19, she received subcutaneous heparin, cefuroxime, and intravenous corticosteroids. She was diagnosed with secondary bacterial and fungal infections in the ICU. Multiple antibiotics and antifungal were given to treat bacterial and fungal infections. An unusual fungus, Kodamaea ohmeri, was isolated from the clinical sample. On day 36, she succumbed to her infection in the ICU. The cause of death was multidrug-resistant sepsis with multiple organ failures due to COVID-19 infection, worsened by an embolism and trachea damage during a tracheostomy. To effectively manage K. ohmeri, clinicians and microbiologists must identify and be aware of this emerging human opportunistic pathogen, which can co-infect debilitated patients such as COVID-19 patients, for effective management.
Toxic granules in neutrophils in sepsis patients: Does it really helpful?
Authors: Chander Subhash , Sharma Reetika , Sharma Anuradha , Verma Priyanka 
Published: July 2023

ABSTRACT

Introduction:
Timely diagnosis of bacteremia/sepsis is essential for the initiation of antimicrobial therapy and further reducing morbidity and mortality.

Aims and Objective:
This study is undertaken to find out the importance of toxic granulations in neutrophils in the diagnosis of sepsis.

Materials and Methods:
This was a cross-sectional type of study which was carried out for 1 year (August 2020 to August 2021). A total of 100 cases were included in the study. The smears were studied to assess the differential leukocyte count and neutrophils toxic granules.

Observations and Results:
The age of the patients ranged from 11 to 92 years, with M:F ratio 1:1. Total leukocyte count (TLC) ranged from 1.6 to 37.3 × 109/l with a mean of 14.7 × 109/l. Absolute neutrophil count (ANC) varied from 1.31 × 109/l × to 32.4 × 109/l with a mean of 10.4 × 109/l. On peripheral smear examination, 31% of cases showed no granules in the neutrophils, 35% of cases showed scattered darkly stained granules in the cytoplasm of neutrophils (1+), 29% showed an increase in the number of granules and increase in intensity (2+), and only 5% cases showed numerous granules with increase blue–black stain. However, none of the cases showed numerous coarse granules crowing the cytoplasm (4+).

Conclusion:
In this study, we found that none of the single parameters, for example, the TLC and ANC, toxic granulations, and left shift are diagnostic of sepsis but all these are complementary to each other in predicting the diagnosis of sepsis.
Alarm fatigue: Can Indian intensive care unit nurses keep up with the noise and maintain their edge?
Authors: Charan Gopal Singh 
Published: July 2023

ABSTRACT
Alarm fatigue has become a significant concern for intensive care unit (ICU) nurses. The incessant flood of alarms can result in desensitization, negatively affecting both nurses and consequently, patient care. This article delves into the struggles ICU nurses encounter due to alarm fatigue, its repercussions, and potential strategies to tackle the problem. By comprehending and addressing alarm fatigue, healthcare professionals can foster a safer and more efficient work environment for ICU nurses.
Giant gastric bezoar: A case report and the review of literature
Authors: Anees Afzal , Fatima Shereen , Hassan Yaqoob 
Published: July 2023

ABSTRACT
A bezoar is a packed collection of undigested or partially digested food found in the gastrointestinal (GI) tract. The stomach is the most common site of bezoars and bezoars are most commonly found in the stomach and can affect people of any age or gender. Patients with behavioral disorders, abnormal gastric emptying, altered GI motility as in diabetes disorders are predisposed to the formation of gastric bezoars. The majority of gastric bezoars are asymptomatic, whereas others require treatment in the form of endoscopic or surgical removal. Gastric bezoar can occasionally result in serious complications such as gastric outlet obstruction, bleeding, and perforation. As a result, early detection and treatment are critical to avoid potentially serious complications. We report an extremely rare case of giant gastric trichobezoar in a young female that was timely and successfully managed surgically. A 25-year-old female presented with symptoms of repetitive nausea and vomiting, especially postmeals, early satiety, intermittent abdominal pain, weight loss, and abdominal lump. An abdomen examination revealed a mass in the epigastric region extending to the right hypochondrium of 20 cm × 14 cm, firm to hard in consistency with a palpable inferior margin. Ultrasonography and contrast-enhanced tomography scan abdomen confirmed the diagnosis of gastric bezoar. The patient was prepared and Elective OT was done with the removal of a large gastric trichobezoar measuring 24 cm × 16 cm and weighing 1865 g. Gastrostomy closure was done in two layers and the postoperative period was uneventful. The patient is doing well and is on regular follow-up.
Identification of the factors that affect clinical teaching and potential strategies to overcome them: A narrative review
Authors: Shrivastava Saurabh RamBihariLal , Shrivastava Prateek Saurabh 
Published: July 2023

ABSTRACT
Clinical teaching does not limit to teaching alone, rather it actually deals with the process wherein students are supported in their learning process while interacting with real patients during clinical settings. The purpose of the current review was to explore the factors that impact clinical teaching and then propose the potential recommendations to overcome them. An extensive search of all materials related to the topic was carried out on the PubMed and Google Scholar search engines and 39 articles were selected based on their suitability with the current review objectives and analyzed. Keywords used in the search include clinical teaching, patient, student, and teacher in the title alone only. Clinical teaching is affected by a wide range of teacher-related, student-related, and patient-related factors, and as medical educators, we are aware of these factors so that we can minimize their impact to enhance the effectiveness of clinical teaching, thereby augmenting learning among medical students. Most of the identified factors that can influence clinical teaching can be taken care of in one or another way, if we strengthen the domain of the faculty development program. The shortage of patients, this concern can be managed by either adoption of standardized patients or by ensuring clinical teaching in outpatient department settings. To conclude, clinical teaching is an important aspect of the making of a competent medical graduate. However, the effectiveness of such sessions depends immensely on the stakeholders that are involved in the process. It is the need of the hour to identify the prevailing factors and then plan for corrective measures to neutralize the impact of such factors and also simultaneously enhance learning among students.
Sezaryen Hastalarının Cerrahi Korku Düzeyini Etkileyen Faktörler
Authors: CAN Emine , BEYDAĞ Kerime Derya 
Published: July 2023

Amaç: Araştırmada, sezaryen olacak gebelerin cerrahi korku düzeyini ve etkileyen faktörleri belirlemek amaçlanmıştır.
Gereç ve Yöntem: Tanımlayıcı tipteki araştırma, Şubat-Haziran 2022 tarihleri arasında sezaryen planlanan 164 gebe ile gerçekleştirilmiştir. Araştırma verileri, “Veri Toplama Formu”, “Cerrahi Korku Ölçeği” ile elde edilmiştir.
Bulgular: “Gebelerin Cerrahi Korku Ölçeği toplam puan ortalaması 51.14 ± 8.88 olarak; kısa vadeli cerrahi korku düzeyi 26.14 ± 4.45 ve uzun vadeli cerrahi korku düzeyi 25.00 ± 5.04 olarak bulunmuştur. Gebelerin yaşı, gelir durumu, daha önce ameliyat olma durumu, gebelik ve doğum sayısı, ikiz gebelik olma durumu, gebelikte kaç kez kontrole gidildiği ve tedavi sonucu gebe olma durumu ile ölçek alt boyut ve toplam puanları arasında istatistiksel olarak anlamlı farklılık saptanmıştır. Ayrıca, daha önce sezaryen olma durumu, sezaryen olma nedeni, daha önce sezaryen olmuş kişilerden sezaryen ile ilgili olumsuz/ kötü anlatımlar duyma durumu ve anestezi sırasında uygulanan anestezi tipinin cerrahi korku düzeyini etkilediği belirlenmiştir.
Sonuç: Sezaryen öncesi gebelerde korkuya neden olan durumlar belirlenerek, korku düzeylerini azaltmaya yönelik girişimlerin hemşirelik süreçlerine dahil edilmesi önerilmektedir.
Elektroterapi Uygulamalı Seminerinin Elektroterapi Dersinin Öğrenme Çıktıları ve Ders Başarısı Üzerine Etkisi
Authors: YILMAZ Fatma Nur , KAYA MUTLU Ebru , OZEN Melike Sumeyye , KESKİN Esra , KEÇELİOĞLU Şule , DEMİR Canan 
Published: July 2023

Amaç: Fizyoterapi ve rehabilitasyon bölümü lisans eğitiminde verilen teorik ve uygulama içeren Elektroterapi (I ve II) dersini uzaktan eğitim ile almış öğrencilere yönelik planlanan uygulamalı eğitim seminerinin ders başarısı ve öğrenme çıktıları üzerine etkilerini saptamak amaçlandı.
Gereç ve Yöntem: Çalışmaya Elektroterapi (I ve II) dersini 2.sınıfta iken almış ve başarılı olmuş 4. sınıfta okumakta olan 53 fizyoterapi ve rehabilitasyon bölümü öğrencisi dahil edildi. “Kişisel Bilgi Toplama Formu”, “Ders Başarısı Değerlendirme Formu” ve “Dersin Öğrenim Çıktılarına Yönelik Bilgi Toplama Formu” uygulamalı eğitim semineri öncesi, seminerden hemen sonra ve seminerden altı ay sonra katılımcılar tarafından dolduruldu.
Bulgular: Öğrencilerin seminer öncesi ortalama ders başarı puanı 100 üzerinden 30.48 iken seminerden hemen sonra 56.53 puan ve 6 ay sonra 31.12 puan olarak hesaplandı. Öğrencilerin %27.4’ü öğrenim çıktılarının tüm maddelerine seminer öncesi kesinlikle katılıyorum ve katılıyorum yanıtını verirken, bu oran seminerden hemen sonra %90.2, seminerden 6 ay sonra ise %81.4 olarak belirlendi (p
Pendekatan Pembelajaran PKN MIS Fajar Shiddiq
Authors: Nasution Abdulgani Jamora , Lubis Rodiatul Hasanah , Lubis Annisa Rahimah , Munawwaroh Siti , Syaukani Farhan 
Published: July 2023

Citizenship Education (PKn) in elementary schools has an important meaning for students in the formation of private citizens who understand and are able to exercise their rights and obligations to become intelligent, skilled and characterized Indonesian citizens mandated in Pancasila and the 1945 Constitution. Learning is a process that is carried out by providing education and training to students to achieve learning outcomes. By using several approaches such as (1). Student-oriented or student-centered learning approach (student centered approach) and (2). Teacher-oriented or teacher-centered learning approach (teacher centered approach). Based on the explanation above, the title "PKN MIS Fajar Shiddiq Learning Approach" can be raised. Based on the title, background and formulation of the problem to be studied, the authors use descriptive qualitative research methods. From the results of observations and research interviews, problems were found regarding the learning approach at MIS Fajar Shiddiq regarding the PKN learning approach used by teachers at the school.
Keywords : Learning approaches, PKN subject