bluuebunny/crossref_metadata_2025_split huggingface dataset:
Unusual presentation of classical Kaposi Sarcoma: penile involvement in an HIV sero-negative patient
Authors: Aferin Ugur , Selcuk Berin , Turker Cansu , Ulgen Ovgu Aydin , Ozkara Hamdi 
Published: March 2023

Background:
Kaposi’s sarcoma (KS) is a multifocal, angioproliferative malignant lesion originating from lymphatic endothelial cells. KS limited to the penis is extremely rare in human immunodeficiency virus (HIV) sero-negative patients. In this study, we aimed to present a case of isolated primary penile KS unrelated to HIV.

Case Presentation:
A 65-year-old man, with no risk factors for KS, presented with reddish nodules on penis. Biopsy was recommended to the patient for definitive diagnosis. Histopathological examination revealed that the diagnosis was classical type KS. No distant metastases were detected. No recurrence or disease progression was detected during the 4-year follow-up.

Conclusion:
Isolated primary penile KS is extremely rare in HIV sero-negative patients, but it should be kept in mind in the differential diagnosis of pigmented and nodular lesions in the penis. Excision of lesions with negative surgical margins has a high success and very low complication rate, as in our case.
ДЕПУТАТИ УКРАЇНСЬКОЇ ДУМСЬКОЇ ГРОМАДИ І ДЕРЖАВНОЇ ДУМИ РОСІЇ ТА ЇХ ДІЯЛЬНІСТЬ У СОЮЗІ АВТОНОМІСТІВ
Authors: БІЛАН Сергій , ДОМОРОСЛИЙ Валентин 
Published: March 2023

Мета дослідження – встановлення проблем і напрямів діяльності депутатів української думської громади у Союзі Автономістів – організації народів у Російській імперії, яка виникла під час революції 1905 р. і добивалася децентралізації Російської імперії на умовах національної автономії та автономізму. З’ясувати підстави та засади трансформації Росії від імперії до спілки народів з широкими автономними повноваженнями. Методологія дослідження – базується на принципах історизму та об’єктивності. В основу логіки викладу матеріалу покладено проблемно-історичний принцип, що дає змогу в хронологічній послідовності розкрити основні напрями діяльності депутатів української думської громади І Державної Думи Росії у Союзі автономістів. Наукова новизна дослідження полягає в осмисленні історичного досвіду розв’язання національного питання у багатонаціональній державі. Здійснена спроба поглибленого аналізу діяльності українських депутатів-громадівців І Державної Думи Росії та їх діяльність у Союзі автономістів. Акцентовано увагу на узгодженості дій у плані вирішення автономних прав українських та польських депутатів. Висновки. Російська імперія була “в’язницею народів”, де більшість з її населення не мали елементарних прав та національних свобод. У статті проаналізовано основні етапи діяльності Союзу Автономістів Росії та участь у ньому українських депутатів, членів Української думської громади І Державної Думи у напрямі розв’язання національного питання. Перспективним напрямом дослідження залишається вивчення участі депутатів-громадівців у Союзі Автономістів, позаяк наявні матеріали дають інформацію про діяльність в організації, головно І. Шрага, та епізодично В. Шемета.
Medical students rise to the COVID-19 vaccine challenge
Authors: Dbeibo Lana , Cooper Dylan D. , Allen Bradley , Hiller Katherine M. , Ko Paul Y. , Weaver Christopher , Birnbaum Deborah R. , Weddle Jennifer , Wallach Paul M. 
Published: March 2023

Abstract
Background
The COVID-19 pandemic disrupted medical student education at a time when they were most eager to step up and help with the pandemic response. Indiana University School of Medicine (IUSM) leveraged an existing relationship with the Indiana Department of Health (IDOH) and the major healthcare systems in the state to assist with the state’s mass vaccination campaign. In this paper, we describe the development and implementation of a medical student volunteer program and highlight the main components of integrating community service programs into medical education.
Methods
IUSM appointed a taskforce to create a state-wide IUSM Medical Student Volunteer Vaccinator program to quickly train and deploy a medical student volunteer workforce. This taskforce was charged with (1) creating and delivering asynchronous and in-person training curriculum for all nine regional campuses and (2) coordinating medical student volunteerism for vaccine delivery across the state of Indiana.
Results
A total of 517 of 739 targeted medical students were fully trained in vaccine administration and contributed to over 2,000 hours of volunteer community service and delivered over 15,000 vaccine doses across the state of Indiana. Students also participated in other essential vaccination delivery roles, such as screening and registration of patients, exit monitoring, and pre-calling patients to remind them of their appointments.
Conclusions
Community service should be a critical component of medical student education. The IUSM Medical Student Volunteer Vaccinator program is an example of what the collaboration between medical schools, state health departments, and healthcare systems can achieve. This model can not only be disseminated to other medical school / healthcare system dyads for mass vaccination efforts but can also be expanded to other public health initiatives such as health screening programs, health education programs, contact tracing programs, community outreach programs, and global health initiatives.

Conflicts of interest: None
A Guided Near-Peer Mentorship Program for Transitioning into Clinical Clerkships at a Regional Medical Campus
Authors: Barr Emma , Craig Steven , Smith Hayden , Jakubiak Margurite , Sopp Talia 
Published: March 2023

Background
Transitioning from preclinical to clinical medical education is a significant milestone in medical training; however, it is associated with anxiety and uncertainty about adapting to a new work and learning environment. These feelings may be additionally heightened when students are also transitioning to a branch or regional campus for their clerkship training. A guided, near-peer mentorship program was designed at a regional medical campus in hopes of reducing anxiety associated with transitioning into clinical rotations, as well as teach clinical medical students how to effectively mentor a fellow student.
Methods
This curricular improvement program was developed and implemented at a regional campus of a US Midwestern medical school. A list of 14 topics for discussion was created from responses to reflection questions completed by students participating in the program. These topics were sorted into meeting guides that mentors could reference during three individual meetings with their mentee. Mentors attended a workshop prior to the start of the program to learn more about effective mentorship in medicine. Participants from the first two years of this program were asked to complete feedback surveys evaluating their experience in the program.
Results
Forty-one of 48 potential second-year students agreed to participate as mentees and 40 of 48 potential third-year students agreed to participate as mentors. Ninety-two percent of mentees agreed that participating in the program decreased their stress and anxiety about transitioning into clerkships and 96% reported they would recommend the program to other students. Among the mentors, 93% reported they would recommend the program to other students and 78% agreed that the mentorship skills they practiced during the program are useful in their professional and academic development.
Discussion
With the introduction of this guided, near-peer mentorship program, mentees reported feeling supported in their transition into clinical clerkships and mentors reported feeling prepared to effectively mentor a fellow student. Though such one-on-one programs can be somewhat time-intensive to establish and execute, the skills gained by mentors can serve them for the rest of their careers and the individualized advice given to mentees markedly decreases anxiety in a high-stress transition.
Cervical epidural abscess complicated by a pharyngoesophageal perforation after anterior cervical spine surgery for subaxial spondylodiscitis
Authors: Mariniello Giuseppe , Corvino Sergio , Corazzelli Giuseppe , Maiuri Francesco 
Published: March 2023

Background:
The anterior approach to the cervical spine is safe and effective, but not without risks. The pharyngoesophageal perforation (PEP) is a rare but potentially life-threatening complication of this surgical route. A prompt diagnosis and adequate treatment are crucial for the prognosis; nevertheless, there is no unique consent about the best management.

Case Description:
A 47-year-old woman was referred to our neurosurgical unit for clinical and neuroradiological signs of multilevel cervical spine spondylodiscitis, which was conservatively treated with long-term antibiotic therapy and cervical immobilization after computed tomography-guided biopsy. Nine months later, when the infection was resolved, the patient underwent C3–C6 spinal fusion with anterior plate and screws through anterior approach to the cervical spine for degenerative vertebral changes causing severe myelopathy, and C5– C6 retrolisthesis with instability. Five days after surgical procedure, the patient developed a pharyngoesophageal-cutaneous fistula, detected through wound drainage, and confirmed by swallowing contrast study, without systemic signs of infection. The PEP was conservatively treated, with antibiotic therapy and parenteral nutrition, and it was monitored through seriate swallowing contrast and magnetic resonance studies up to the complete resolution.

Conclusion:
The PEP is a potentially fatal complication of the anterior cervical spine surgery. We suggest an accurate intraoperative control of the pharyngoesophageal’s tract integrity at the end of the surgical procedure and a longtime follow-up, because the risk of occurrence is up to several years after surgery.
Primary spinal epidural rhabdomyosarcoma: A case report
Authors: Okal Fahad Mahmood , Hamzah Abdulaziz , Boubaker Adnan , Aref Mohammed H. 
Published: March 2023

Background:
Rhabdomyosarcoma (RMS) is a malignant childhood tumor that most commonly involves the skeletal muscles of the head and neck, genitourinary tract, limbs, and, rarely, the spine.

Case Description:
A 19-year-old male presented with cauda equina symptoms. Magnetic resonance imaging showed a C7/T1 homogeneously enhancing lesion, causing pathological fracture of the T1. Similar lesions were found on T3 and S1-S2 levels. CT-guided biopsy and immunohistochemistry confirmed the diagnosis of highly malignant alveolar RMS. He underwent multi-level laminectomies with partial tumor debulking but was paraplegic postoperatively.

Conclusion:
Spinal RMS rarely involves the soft tissues of the spine and should be surgically resected if feasible. Nevertheless, the long-term prognosis is poor regarding tumor recurrence and metastases.
Persistent barriers to achieving quality neonatal care in low-resource settings: perspectives from a unique panel of frontline neonatal health experts
Authors: Kaur Eshkeerat , Heys Michelle , Crehan Caroline , Fitzgerald Felicity , Chiume Msandeni , Chirwa Ellen , Wilson Emma , Evans Mari 
Published: March 2023

Background Despite increasing rates of facility-based deliveries, neonatal mortality rates remain persistently high in low-resource settings (LRS). This has catalysed international focus on understanding and enabling quality newborn care. We aimed to understand persistent barriers to Quality of Care (QoC) and to identify quality improvement priorities from the perspective of a panel of neonatal experts with first-hand experience of delivering newborn care in low-resource settings (LRS). Methods We conducted 13 semi-structured interviews with neonatal health experts via Skype. All interviews were recorded and transcribed verbatim. We adopted an inductive thematic analytical approach. Ethical approvals were not required. Results Twenty-two experts were invited to participate, of whom 16 responded and 13 agreed to take part (five neonatologists, six paediatricians and two advanced neonatal nurse practitioners). Participants had a mean of 13 (±7 SD) years working in LRS. Lack of physical resources including basic equipment and infrastructure such as running water, combined with limited human resources, education and specialist neonatal training were cited as key barriers to delivering quality care. In addition, weak leadership at the community, local and national level were thought to hinder progress. Poor communication within clinical teams, limited documentation and lack of standardised and locally appropriate guidelines were also identified as challenges. Digital technologies were perceived to have potential for data capture and enabling standardised care. However, some highlighted that unreliable internet access and possible stigma may hinder implementation. Conclusions With less than 10 years to reach the Sustainable Development Goals (SDGs), it is critical to ensure access to quality care for all sick and vulnerable newborns admitted to health facilities. Clinical leaders in low resource settings need to be empowered to define local agendas and advocate for critical resources in order to close the gap between local and global quality of care priorities.
A DANÇA NAS ACADEMIAS DE GINÁSTICA: MOTIVOS DE INSERÇÃO E PERMANÊNCIA
Authors: Marques da Silva Ana Carolina , De Faria Gehres Adriana , De Oliveira Caminha Iraquitan 
Published: March 2023

O presente estudo objetivou identificar os motivos de inserção e permanência de diferentes tipos de dança, nomeadamente o ballet, jazz, dança de salão, dança do ventre e a dança esportiva, em academias de médio a grande porte situadas em Recife-PE. Apoiamo-nos na abordagem qualitativa do tipo fenomenológica hermenêutica. Utilizou-se como instrumento a entrevista semi-estruturada. Os espaços selecionados atenderam a pelo menos dois dos seguintes critérios: academias de médio a grande porte, com mais de uma unidade física e maior popularidade nas redes sociais. Foram selecionadas 4 academias e 5 coordenadores responsáveis participaram das entrevistas. As narrativas foram interpretadas através de análises ideográficas e nomotéticas à luz da fenomenologia hermenêutica. Apresentamos na pesquisa questões referentes ao histórico, perfil e conceito das academias, a fim de identificar como estas academias se configuravam atualmente, além dos motivos de inserção e permanência da dança nos espaços das academias. Como conclusão apontamos os riscos de se reduzir a dança nas academias a um produto de consumo destinado às experiências autoeróticas de satisfação individualista, excluindo a possibilidade de considerar a dança como manifestação sociocultural do corpo que se expressa de maneira livre e criativa visando se relacionar com o outro.
Palavras-chave: Academias de ginástica. Dança. Educação física.
Perbandingan Efektivitas Bermain Plastisin dengan Finger Painting terhadap Perkembangan Motorik Halus Anak Prasekolah
Authors: J Harsismanto , Ramon Agus , Putrawan Remo , Padila Padila , Andri Juli 
Published: March 2023

This study aims to determine the comparison of the effectiveness of playing plasticine with finger painting on the fine motor development of pre-school children at PAUD Dharma Wanita Persatuan Bengkulu City. This type of research is a quantitative research with a Quasi Experimental design. The results showed that before the intervention, there were 8 (53.3%) children whose fine motor development was included suspect in the finger painting group, and 7 (46.7%) children were in the suspect category in the plasticine playing group. After being given the intervention by playing plasticine, there were 10 people (66.6%) whose fine motor development was normal, while the respondents after being given intervention by playing finger painting were 14 children (93.3%) whose fine motor development was normal. The results of the Wilcoxon test showed that the p-value of the two groups was 0.043 for the plasticine group and 0.007 for the finger painting group, which means that there was a difference in the average score for the fine motor category before and after the intervention was given to the two groups. Based on the results of the Mann-Whitney test, the p value = 0.073. In conclusion, the two interventions were statistically effective in increasing the average score of the fine motor ability category of preschool children and there was no significant difference in the effectiveness of the two intervention groups in increasing the average score of the fine motor ability category of preschool children in PAUD Dharma Wanita Persatuan Bengkulu City.

Keywords: Finger painting , Fine Motor, Plasticine
Pendidikan Kesehatan terhadap Personal Higiene Santri
Authors: Pratiwi Bintang Agustina , Oktarianita Oktarianita , Febriawati Henni , Wati Nopia , Kartini Nova 
Published: March 2023

This study aims to determine the effect of health education on the Personal Hygiene of students at the Pancasila Islamic Boarding School in Bengkulu City. This study is a quantitative study using a cross-sectional approach. The results of the univariate analysis obtained that the average score of personal hygiene behavior before being given health education was 42.17 and after health education was 61.20. In conclusion, there is an effect of health education on personal hygiene and on average before and after being given health education on personal hygiene behavior.

Keywords: Health Education, Personal Hygiene
Persepsi Pasien tentang Kualitas Pelayanan Rumah Sakit pada Masa Pandemi Covid-19
Authors: Yanuarti Riska , Febriawati Henni , Angraini Wulan , Pratiwi Bintang Agustina , Wati Nopia 
Published: March 2023

This study aims to determine the patient's perception of the quality of service at the Harapan and Doa Hospital in Bengkulu City during the Covid-19 pandemic. The research design used was quantitative using a cross-sectional design. Overall, the results showed that the patient's perception of the five dimensions of service quality was still not good, namely 57.1% reliability, 63.8% responsiveness, 56.2% assurance, 50.5% empathy, and 55.2% physical evidence. The results of the chi-square test showed that there was a significant effect between age (p-value = 0.001) , gender (p-value = 0.001), education (p-value = 0.001), occupation (p-value = 0.001) on patients' perceptions of quality. service. In conclusion, most of the respondents stated that the Outpatient Polyclinic of Harapan and Doa Hospital Bengkulu City was still not good. There was an influence of age, gender, education, and occupation on patients' perceptions of service quality.

Keywords: Satisfaction, Quality, Pandemic, Perception
Pengembangan Poster sebagai Media Promosi Pencegahan COVID-19
Authors: Febriawati Henni , Efrianti Delvita , Yanuarti Riska , Oktarianita Oktarianita , Angraini Wulan 
Published: March 2023

This study aims to develop health promotion media for COVID-19 prevention posters at the Muhammadiyah University of Bengkulu. The research method used in this research is Research & Development using the Bogh & Gall research model. The results of the design validation research for material experts get a feasibility percentage of 75% in the very feasible eligibility category, media experts get a feasibility percentage of 77% in the very feasible feasibility category, and linguists get a feasibility percentage of 75% in the very feasible type. The results of the small group product trials obtained a feasibility percentage of 87.81% with the very feasible feasibility category. This research is limited to developing COVID-19 prevention poster media and is only carried out until the product trial stage. In conclusion, a health promotion media poster for COVID-19 prevention was produced at the Muhammadiyah University of Bengkulu using Canva with product testing on small groups, obtaining an 87% qualification with very qualified eligibility criteria.

Keywords: COVID-19, Media Promotion, Poster
Nurse's Experience in Treatment of COVID-19 Patients
Authors: Kitong Berti Irwin , Arofiati Fitri 
Published: March 2023

This study aims to identify what nurses experience in handling COVID-19. The research uses a literature study with PI(E)O (patients, intervention/exposure, and outcome), and searches were carried out on the Proquest and PubMed databases. Google Scholar Research Results in nurses' feelings varied from stress and anxiety to mental depression about how to provide nursing care and services for COVID-19 patients. In conclusion, the experience of nurses in delivering services to Covid patients is divided into two, namely professionalism and psychology

Keywords: Experience, Nurse, Care, COVID-19
Association between Attitudes to Self Management on Adherence in Restriction Fluid and Dietary among Patient Hemodialysis Related to Hypervolemia
Authors: Mananawan Sheilla Paulina , Rosa Elsye Maria 
Published: March 2023

This study aims to determine the relationship between hemodialysis patients' attitudes toward self-management and adherence to fluid restriction and hemodialysis diet related to hypervolemia. This research method is a Literature review. The data used in this study comes from reputable journal articles published nationally and internationally in national and international online journals. The results showed that the risk of hypervolemia was reduced when patients could manage their health by performing self-care, developing a self-management plan, and modifying initial diet and renal fluid instructions to adapt to their lifestyle. In conclusion, there is a relationship between self-management and compliance of hemodialysis patients with fluid and dietary restrictions, especially sodium.

Keywords: Compliance, Self Management, Fluid Restriction, and Diet
The Effect of Social Support with Depression in Chronic Kidney Failure Patients Treating Hemodialization
Authors: Almubarok Allama Zaki , Permana Iman 
Published: March 2023

This study aims to identify the latest evidence-based on the effect of social support on depression in chronic renal failure patients undergoing hemodialysis. The research method used in this study is a literature review with a literature search using the electronic database CINAHL, PubMed, Pro Quest, Cochrane, Google Scholar, and Garuda. The results showed that the original sixteen articles met the inclusion criteria in 4 themes: social and family support that affects self-management and hope for progress, family support, emotional support, and appropriate and appropriate family support. In conclusion, all aspects of social and family license affect depression and anxiety in chronic kidney failure patients undergoing hemodialysis.

Keywords: Depression, Social Support, Hemodialysis, End-Stage Kidney Disease
Reducing Blood Pressure in Hypertension Patients Using Exercise Intervention Slow Respiratory
Authors: Andri Juli , Padila Padila , Sugiharno Ramadhan Trybahari , Andrianto Muhammad Bagus , J Harsismanto 
Published: March 2023

This study aims to determine the effect of slow deep breathing exercises on reducing blood pressure in hypertensive patients in the Telaga Dewa Health Center work area, Bengkulu City. The research method used in this research is quantitative research with a quasi-experimental research design. The results of univariate analysis obtained that the average respondent was 64 years old, with the majority gender being female, namely seven respondents (53.3%). Most respondents have a family history of hypertension, as many as 12 (80%). The results of the bivariate analysis showed that the p-value <0.05. In conclusion, there is a decrease in systolic and diastolic blood pressure before and after slow deep breathing intervention in hypertension sufferers in the Telaga Dewa Health Center Work Area, Bengkulu City.
Keywords: Hypertension, Slow Deep Breathing Exercise, Blood Pressure