bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of Risks for Gastrointestinal Bleeding in Patients with Brain Injury
Authors: Terehov I. S. , Klicenko O. A. , Bautin A. E. , Tsentsiper L. M. , Kondratyev A. N. 
Published: August 2023

The aim of the study was to develop a risk model for upper gastrointestinal tract (GIT) bleeding in patients with brain injury of various etiologies.Material and methods. Case histories of 33 patients were included into a retrospective descriptive study: 22 patients had severe brain injury of various etiologies, and 11 patients after elective surgery for cerebral aneurisms with uneventful postop period were taken for comparison. The patients were grouped in two arms: Group 1 included patients with obvious signs of GIT bleeding (N=11) and Group 2 had no obvious signs of bleeding (N=22). Complaints, life and medical history, comorbidities, specialists’ exams data, results of laboratory and instrumental examinations, therapeutic regimens were analyzed. Presence of disproportionate pathologic sympathetic overreaction to acute brain injury, i.e., paroxysmal sympathetic hyperactivity (PSH), was assessed on admission and on Days 1, 3 and 5 after brain injury. Results. A model for upper GIT bleeding risk assessment was designed using logistic regression. The resulting model gains high quality rating: χ²=33,78, 3; p<0,001; OR=315. The risk of upper GIT bleeding exceeded 95% in patients having combination of 4 symptoms in their medical history (presence of PSH on Day 1 after acute brain injury; Karnofsky performance scale index 75; lack of neurovegetative stabilization in the acute period of brain injury; gastric and/or duodenal ulcer).Conclusion. Determining the risk factors thresholds enables stratification of patients by the risk for upper GIT bleeding. Modification of the identified four risk factors (presence of PSH on Day 1after acute brain injury; Karnofsky performance scale index 75; lack of neurovegetative stabilization in the acute period of brain injury; gastric and/or duodenal ulcer) will probably reduce the occurrence of upper GIT bleeding in patients with acute brane injury of various etiology.
Caring for Hospitalized Children in Foster Care: Provider Training, Preparedness, and Practice
Authors: Sleppy Rosalie M. , Watson Breanna D. , Donohue Pamela K. , Seltzer Rebecca R. 
Published: August 2023

BACKGROUND AND OBJECTIVES
Children and youth in foster care (CYFC) have high rates of health care utilization, including inpatient care. The objective of this study was to explore the inpatient provider experience caring for CYFC.

METHODS
Semistructured interviews were conducted with inpatient pediatric providers from Mid-Atlantic hospitals. Interview questions focused on 3 domains: provider training and preparedness, practice challenges, and strategies to improve care for CYFC. Conventional content analysis was applied to interview transcripts.

RESULTS
Thirty-eight interviews were completed with providers from 6 hospitals, including 14 hospitalists, 1 advanced practice provider, 11 registered nurses, 10 social workers (SWs), and 2 case managers. Nearly all (90%) reported at least monthly interactions with CYFC. Themes related to training and preparedness to care for CYFC included: medical providers’ lack of formal training, limited foster care knowledge, and feeling of preparedness contingent on access to SWs. Themes related to unique practice challenges included: identifying CYFC, obtaining consent, documenting foster care status, complex team communication, and navigating interpersonal stress. Participants’ suggestions for improving their ability to care for CYFC included increasing SW capacity, expanding provider training, standardizing electronic medical record documentation and order sets, and improving team communication and information sharing.

CONCLUSIONS
There are unique medical, social, and legal aspects of caring for hospitalized CYFC; pediatric medical providers receive limited training on these topics and rely heavily on SWs to navigate associated practice challenges. Targeted educational and health information technology interventions are needed to help inpatient providers feel better prepared to effectively meet the needs of CYFC.
PERAN KERANG PENYARING PARTIKEL TERHADAP KERAGAMAN MAKROBENTHOS DI AGGREGASI KERANG
Authors: Ompi Medy , Boneka Farnis B. , Kaligis Erly Y. , Kaunang Stella T. 
Published: August 2023

Tujuan penelitian ini adalah untuk mengetahui distribusi jenis, kelimpahan, keragaman, dan kesamaan makrobenthos yang berada di dalam posisi aggregasi di lokasi berbeda. Observasi telah dilakukan di 2 stasion Tiwoho dan Blongko, selama April, 2021. Makrobentos diambil dengan meletakan ‘Core’ (PVC) dengan diameter 15 cm pada posisi tengah dan pinggir aggregasi besar, serta aggregasi kecil di 2 lokasi. Materi yang ada di dalam ‘Core’ diangkat, dimasukkan di dalam plastik yang berlabel, selanjutnya disortir, diidentifikasi, dihitung, dan foto di laboratorium. Pengambilan sampel dilakukan sebanyak 4 kali sebagai ulangan pada posisi aggregasi yang berbeda. Jumlah jenis dan individu makrobenthos dianalisa dengan menggunakan 2 Arah ANOVA, di mana posisi dalam aggregasi dan stasion adalah sebagai faktor utama. Mengetahui keragaman dilakukan melalui perhitungan Indeks ‘Simpon’ dan kesamaan dengan Indeks ‘Evenness’. Hasil menunjukkan bahwa jumlah jenis dan jumlah individu (kelimpahan) makrobenthos bervariasi di antara posisi dalam aggregasi kerang, namun tidak dipengaruhi oleh baik posisi dalam aggregasi dan stasion. Keragaman dan kesamaan jenis makrobenthos dikategorikan tinggi, walaupun baik ‘Indeks Simpson’ dan ‘Evenness’ bervariasi dan tidak konsiten di antara posisi dalam aggregasi dan stasion. Jumlah individu (kelimpahan) makrobenthos nampak bebeda di antara posisi aggregasi di lokasi Blongko berdampak pada perbedaan stabilitas makrobenthos untuk kedua lokasi.
Outpatient Oncology Fall Risk: A Quality Improvement Study
Authors: Hammontree Stephanie , Potts Maryellen , Neiberger Adam , Olds Danielle , English Daniel , Myers Jamie S. 
Published: August 2023

Introduction. Patients receiving cancer treatment are at high risk for falls. No current guidelines or standards of care exist for assessment and prevention of outpatient oncology falls. This quality improvement project’s purpose was to 1) describe and evaluate outpatient oncology falls data to determine root cause(s) and develop, implement, and evaluate intervention strategies for future policy refinement, and 2) compare fall rates pre/post implementation of a system-wide Ambulatory Fall Risk Bundle.
Methods. Retrospective data were used to describe and categorize fall incidence for the University of Kansas Cancer Center over 12 months. Further analyses were conducted to describe fall rates per 10,000 kept appointments pre/post implementation of an Ambulatory Fall Risk Bundle protocol. Semi-structured interviews were conducted with medical assistants and nurse managers to evaluate the initiative’s impact, staff satisfaction, and recommendations for refinement.
Results. The initial 12-month assessment yielded 58 patient falls retained for further analyses. Most patients were receiving chemotherapy (79%). Common contributing symptoms included dizziness/faintness and weakness (43%). Tripping/falling over a hazard (24%) and falls during transfer (5.8%) also were cited. Subsequent analyses of fall rates per 10,000 kept appointments pre/post implementation of the Ambulatory Fall Risk Bundle indicated no change. Recommendations from the qualitative interviews included: orthostatic vital sign protocol implementation, redesign of the electronic medical record fall risk alert, stakeholder involvement in protocol development and related education, and additional assistive devices/equipment.
Conclusions. System-related policy and culture change, investment in physical and human resource enhancements, and evidence-based protocols are needed to improve outpatient oncology fall rates.
ПРАВО АВТОРА НА САМОЦИТИРОВАНИЕ СРЕДИ ДРУГИХ АВТОРСКИХ ПРАВ
Authors: ЗАЙЦЕВ Владимир Васильевич , МИХАЙЛОВА Ирина Александровна 
Published: August 2023

В статье анализируются проблемы, связанные с воспроизведением в научных работах фрагментов ранее опубликованных исследований, получившим наименование «самоцитирование», или «самоплагиат». Исследуя правовую сущность права на такое воспроизведение, авторы доказывают, что оно является личным неимущественным правом, вытекающим из содержания конституционного права на свободу литературного, художественного, научного, технического и других видов творчества.
С введением тотальной проверки уровня оригинальности представленных научных произведений содержащиеся в них фрагменты ранее опубликованных работ расцениваются как «заимствованные», что становится препятствием к допуску диссертаций к защите. По мнению авторов, отрицание возможности использования в диссертации отрывков из ранее опубликованных работ означает, что от соискателя требуется проведение нескольких исследований: в виде диссертации и в форме научных статей, относящихся по содержанию к избранной проблематике, что противоречит логике научного исследования и отрицательно сказывается на его результатах.
Много внимания уделяется характеристике использования автором фрагментов собственных текстов в научных статьях и монографиях без ссылок на первоисточник, которое нарушает положение, закрепленное в п. 1 ст. 1274, нормы научной этики и лишает читателей возможности сопоставить первоначальный и представленный авторские тексты и выявить в последнем наличие или отсутствие новизны.
Проанализировав представленные в современной доктрине суждения относительно рассматриваемого правомочия, авторы формулируют следующие выводы: во-первых, о лексическом несоответствии его характеру термина «самоплагиат», в связи с чем предлагают именовать такое воспроизведение «недобросовестным самоцитированием»; во-вторых, об отсутствии недобросовестности автора во всех случаях, когда воспроизведенные им фрагменты прежних работ сопровождаются указанием на первоисточник. Доказывается, что в большинстве случаев такое воспроизведение свидетельствует не о недобросовестности автора, его лени или желании ввести читателей в заблуждение, а о его научной последовательности, преданности отстаиваемым научным идеям и о стремлении привлечь к ним новых сторонников.
Effectiveness of Epley's maneuver alone without any drugs in the treatment of posterior canal benign paroxysmal positional vertigo: a prospective analytical study
Authors: George Josna J. V., M. V. , T. Lhsan A. 
Published: August 2023

Background: Posterior canal benign paroxysmal positional vertigo (p-BPPV) is the most common peripheral vestibular problem. Many doctors use three treatment options for p-BPPV: drugs alone, Epley’s maneuver with drugs, and Epley’s maneuver alone. Many studies say that Epley’s maneuver with drugs improves the condition much more effectively than drugs alone. Our study is intended to assess the effectiveness of Epley’s maneuver alone in treating posterior canal BPPV.
Methods: A prospective analytical study was performed on 102 patients who were divided into 2 groups after random sampling. Group I underwent repeated applications of Epley’s maneuver alone, and group II underwent a single Epley’s maneuver along with drugs. The data were collected systematically with the help of a proforma and dizziness handicap inventory (DHI) score chart. The patients were reviewed after 24 hours, 1 week, and 1 month.
Results: In our study, the mean pre-treatment DHI score of group I was 66.71, and group II was 64.39. After 24 hours, the DHI score came down to 46 and 47.61 respectively, and after 1 week and 1 month, it decreased to 33.06 and 22.86, respectively in group I and group II, it came to 44.71 and 38.78, respectively. The difference in mean DHI score between groups I and II is statistically significant, with each review having a p value of 0.00.
Conclusions: This study was able to demonstrate the efficacy of Epley's maneuver in the treatment of BPPV without any drug.
Traduction en polonais du mot/terme pain et de ses variantes dans le contexte de boulangeries françaises en Pologne et de leurs publicités
Authors: Tomaszkiewicz Teresa 
Published: August 2023

Cette étude a un caractère pragmatique car elle est consacrée à la traduction en polonais du lexème pain et de ses variantes dans les boulangeries dites françaises, qui sont apparues en Pologne récemment. Elle ne se limite pas au mot pain, mais s’intéresse à tout ce qui l’entoure dans un contexte textuel et le macrocontexte de son apparition - appellations des ingrédients nécessaires à sa production à la française, noms des produits proposés aux clients - ainsi qu’à la terminologie apparaissant dans les publicités de ces entreprises. Cette recherche est basée sur trois méthodologies d’investigation : analyse linguistique de procédés de traduction appliqués aux textes constituant le corpus, interview avec les traductrices qui ont travaillé sur la traduction de ces dossiers ; analyse des relations intersémiotiques entre les signifiants et leurs référents, c’est-à-dire entre les noms des produits appartenant à la notion de ‘pain’ et leurs images.
Pain et chleb en phraséologie contrastive : analyse franco-polonaise
Authors: Sułkowska Monika 
Published: August 2023

Le but de notre article est de présenter certains problèmes de l’équivalence interlinguale au niveau du figement lexical, et d’analyser des structures figées contenant les lexèmes pain en français et chleb en polonais. Nous examinons l’idiomatologie et les éléments communs en phraséologie. Le mot pain / chleb implique très souvent des significations et un symbolisme parallèles dans les langues française et polonaise. Pourtant, les deux langues ont créé des unités phraséologiques qui leur sont propres et qui ne sont caractéristiques que d’une des langues confrontées. Les unités de ce type sont nombreuses et représentent des structures lacunaires, difficiles à traduire directement dans la langue cible sans avoir recours à des paraphrases.
The Coagulation Parameters Among Healthy Menopausal Sudanese Women
Authors: Hassan Obaid Safa Gaffer , Mohamed Rawan Abdelrazig , Abd Albagi, Razan Rayan Abd Alazeem , AbdallaTendil Abdalrahiem , Babiker Sara Elsadig , Alabid Tyseer , Merghani Maye  M. , Babiker Nihad alsadig 
Published: August 2023

Background:
Menopause is a natural stage in life and part of the aging process. it marks when a woman’s period stops as her ovaries stop producing eggs. Many changes take place in the physiological parameters some of which are known to enhance the risk of vascular-related diseases such as stroke and ischemic heart disease. This study aimed to estimate the platelets count, PT, APTT, fibrinogen level D-dimer, and protein C level among Healthy Menopausal Sudanese Women.
Material and methods:
This was a case-control study conducted at the laboratory of the national university at Khartoum state during the period of December 2022 to April 2023. Apparently, healthy menopausal women who lost their menstrual period for more than one year were included as a case group, and apparently healthy women during the reproductive period were included as a control group. The platelets were counted by using Automated Hematology Analyzer, Sysmex KX 21N (series SN B 2010), PT, APTT by coagulometer (Automated Bio Bas), Fibrinogen level by using the coagulometer (Automated Bio Bas) by BioMed-Fibrinogen kite BioMed-Fibrinogen kite, I chroma was used for the D-dimer, protein C was measured by using (URIT 660 AESKULISA Protein C and S Microplate read.
Results:
In the case group the means of platelets count, PT, APTT, Fibrinogen, D-dimer, and Protein C were; (251.3±38.2), (16.9±2.1), (32.9±7.7), (381.0±269.1) (0.59±0.17) and (89.9±16.3) respectively. while in the control group, the means of platelets count, PT, INR, APTT, Fibrinogen, D-dimer, and Protein C were; (291.8±73.5), (13.5±1.5), (31.3±2.7), (212.5±77.3) (0.33±0.12) and (82.2±14.2) also respectively. when comparing the parameters means between the case and control group the results revealed; there was a significant decrease in platelets counts (p. v = 0.001), a significant increase in PT and fibrinogen levels (p. v = 0.000), and insignificant differences for the APTT, D-dimer, and protein C (p. v > 0.05). In addition to that, there was a negative correlation between the parameters and the age and the A menorrhea (p. v > 0.05)
Conclusion:
In the Sudanese menopausal women, there was a significant decrease in platelets counts, and a significant increase in PT and fibrinogen levels, with insignificant differences for the APTT, D-dimer, and protein C when compared between the case and control group, in addition, the parameters had a negative correlation with the age and the A menorrhea.
THE ROLE OF THE 2013 CURRICULUM STUDENT WORKSHEET (LKPD) ON INDEPENDENT LEARNING STUDENTS IN PANCASILA AND CITIZENSHIP EDUCATION (Descriptive Study in 9th Grade SMP Negeri 10 Serang City)
Authors: Angraeni Desti , Ria Yuni Lestari  , Wika Hardika Legiani  
Published: August 2023

Abstract: The purpose of this study was to describe the process of making the 2013 Curriculum LKPD in Pancasila and Citizenship Education subjects, to determine the role of the 2013 Curriculum LKPD in increasing the independence of students in Pancasila and Citizenship Education subjects, and to find out the obstacles to using the 2013 Curriculum LKPD in increasing independence. students in Pancasila and Citizenship Education lessons at SMP Negeri 10 Serang City. This study uses a descriptive method with a qualitative approach and data collection through the results of interviews, observations and documentation to the deputy principal of the curriculum, teachers, and students of Junior High School Number 10 of Serang City. The results of this study indicate that the process of making LKPD Curriculum 2013 in the subjects of Pancasila and Citizenship Education is carried out by conducting curriculum analysis, compiling a map of LKPD needs, determining the title of KPD, writing LKPD and determining assessment tools. There is a role for the 2013 Curriculum LKPD in increasing the independence of students' learning in the subjects of Pancasila and Citizenship Education, namely creating a condition where students have a competitive desire to advance for their own good, as a learning tool so that students are able to take decisions and take initiatives to deal with problems that arise. faced, as a tool to foster students' confidence in what they are doing. The obstacles faced by teachers and students in utilizing the 2013 Curriculum LKPD in increasing the learning independence of students themselves both internally and externally are consistency, creativity, lack of student focus, weak grasping power of students in understanding the material and distance learning in pandemic conditions. covid 2019.
Keywords : LKPD, Independence, Pancasila Education and Citizenship
PENGARUH MEDIA ANIMASI AUDIO VISUAL TERHADAP PERSEPSI DAN KEMAMPUAN PEMAHAMAN KONSEP SISWA PADA PELAJARAN IPS KELAS V
Authors: Fadilah Idris  , Nursalam  , Muhlis Madani  
Published: August 2023

Tujuan penelitian adalah untuk menganalisis kemampuan pemahaman konsep IPS pada siswa kelas V; menganalisis persepsi belajar siswa melalui pembelajaran animasi audio visual; dan untuk mengetahui pengaruh media animasi audio visual terhadap kemampuan pemahaman konsep dan persepsi siswa kelas V. Jenis penelitian ini adalah Quasi Eksperimental Design dalam penelitian ini diberikan perlakuan tertentu (treatment), yaitu kelas kontrol dan kelas eksperimen. Sampel dalam penelitian ini adalah sebagian dari populasi dengan Teknik pengambilan sampel adalah purposive sampling. Metode pengumpulan data yang digunakan yaitu kuesioner motivasi dan tes hasil belajar serta dokumentasi. Tehnik analisis data yang digunakan yaitu pertama dengan menggunakan pendekatan statistik deskriptif, uji prasyarat, dan uji hipotesis Manova. Hasil penelitian, uji hipotesis Manova pada Uji multivariate bahwa nilai signifikansi media animasi audio visual terhadap motivasi dan hasil belajar siswa adalah 0,000 < 0,05 maka H1 diterima dan Ho di tolak, dan selanjutnya dilakukan uji Tests of Between-Subjects Effects dengan nilai signifikansi pengaruh media animasi audio visual terhadap persepsi dan kemampuan pemahaman konsep IPS siswa sebanyak 0,000 yang berarti nilai signifikansi 0,000<0,05, yang berarti bahwa H1 diterima dan Ho di tolak dengan penarikan kesimpulan bahwa ada pengaruh yang signifikan media animasi audio visual terhadap persepsi dan kemampuan pemahaman konsep IPS materi jenis-jenis dan kegiatan ekonomi masyarakat pada siswa kelas V.
.Kata Kunci : audio visual, pemahaman konsep, persepsi
Is Elective Total Hip Arthroplasty Safe in Nonagenarians?
Authors: Leopold Vincent J. , Krull Paula , Hardt Sebastian , Hipfl Christian , Melsheimer Oliver , Steinbrück Arnd , Perka Carsten , Giebel Gregor M. 
Published: August 2023

Background:
An increasing number of elderly patients are becoming candidates for elective total hip arthroplasty (THA). Conflicting results exist with regard to the safety of THA in nonagenarians. The aims of this study were to evaluate postoperative mortality and morbidity after THA in nonagenarians and underlying risk factors. We hypothesized that nonagenarians undergoing elective THA would show higher morbidity than younger patients and higher mortality than nonagenarians in the general population.

Methods:
This was an observational cohort study using data from the German Arthroplasty Registry (Endoprothesenregister Deutschland [EPRD]). Of 323,129 THAs, 263,967 (including 1,859 performed on nonagenarians) were eligible. The mean follow-up (and standard deviation) was 1,070 ± 641 days (range, 0 to 3,060 days). The exclusion criteria were age of <60 years at admission and nonelective THAs or hemiarthroplasties. The cohort was divided into 4 age groups: (1) 60 to 69 years, (2) 70 to 79 years, (3) 80 to 89 years, and (4) ≥90 years. Comorbidities representing independent risk factors for postoperative complications and mortality were identified via a logistic regression model. Mortality rates were compared with those from the general population with data from the Federal Statistical Office. The end points of interest were postoperative major complications, minor complications, and mortality.

Results:
Among the greatest risk factors for major and minor complications and mortality were congestive heart failure, pulmonary circulation disorders, insulin-dependent diabetes, renal failure, coagulopathy, and fluid and electrolyte disorders. Compared with younger groups, the risks of major and minor complications and mortality were significantly higher in nonagenarians. Mortality increased when major complications occurred. After 1 year, the survival rate in patients without a major complication was 94.4% compared with 79.8% in patients with a major complication. The mortality rates of nonagenarians in the study population were lower than those in the corresponding age group of the general population. The 1-year mortality rates at 90 years of age were 10.5% for men and 6.4% for women within the study group compared with 18.5% for men and 14.7% for women among the general population.

Conclusions:
Comorbidities favor the occurrence of complications after elective THA in nonagenarians and thus increase postoperative morbidity. In the case of complications, mortality is also increased. The fact that mortality is still lower than within the general population shows that this aspect can be controlled by careful patient selection and adequate preparation.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.