bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of Knowledge of Metabolic Syndrome and Health Literacy Level among Adults in Western Turkey
Authors: Emiral G Ozturk , Tozun M , Atalay B Isiktekin , Goktas S , Dagtekin G , Aygar H , Arslantas D , Unsal A , Babaoglu AB , Tirpan K 
Published: August 2023

Background:
Metabolic syndrome (MetS) has become an issue in the public health discipline.

Aims:
The primary aim of this study is to assess the potential determinants for both knowledge level of metabolic syndrome and health literacy (HL) level among the adult population. The second purpose of this study is to show whether there is a relationship between the MetS knowledge level and the HL level in western Turkey.

Methods:
This cross-sectional study was conducted between October 10, 2017 and November 15, 2017 in western Turkey. The participants of the study were adult population who applied to seven “family health centers”. The MetS knowledge level was measured with the Metabolic Syndrome Knowledge Level Scale (MetS-KS). HL level was measured with the HLS-EU-Q16. A General Linear Model was constructed to evaluate the relationship between MetS-KS scores and HLS-EU-Q16 scores. For statistical significance, P < 0.05 was accepted.

Results:
Younger age, having higher education level, being single, having a high family income, not having a chronic disease, doing regular physical activity, viewing television less than 3 hours a day, previous measurement of waist circumference, previous attempts to lose weight, not being abdominally obese, not being at risk for hypertension and not having optimal body mass index (BMI) were associated with high HL levels (P < 0.05 for each one). According to the general linear model, the level of HL was not related to the level of MetS knowledge level (P > 0.05).

Conclusions:
Younger age, having a high educational level, high socioeconomic level and positive health behaviors were related with both MetS knowledge level and HL level. However, there was no direct relationship between MetS knowledge level and HL level.
Bacteriological Profile and Antibiotic Sensitivity Patterns in Clinical Isolates from the Out-Patient Departments of a Tertiary Hospital in Nigeria
Authors: Tobin EA , Samuel SO , Inyang NJ , Adewuyi GM , Nmema EE 
Published: August 2023

ABSTRACT

Background:
Antimicrobial resistance (AMR) is a rising global public health threat. Knowledge of the circulating pathogens in a particular area and their antibiotic resistance profile is essential to direct clinicians on rational antibiotic prescribing.

Aim:
The study was conducted to determine the microbial isolates and antibiotic susceptibility profiles of pathogens from a range of clinical samples in a tertiary hospital in Edo Central Senatorial District in Edo State, Nigeria.

Settings and Design:
The study was a retrospective analysis of microbiological isolates from clinical specimens collected between January 2016 and December 2019, using standard techniques from outpatient clinic attendees. Chi-square test was used to compare the association of the type of bacterial isolates with patients' sex and level of significance P set as < 0.05. Prevalence rates of bacterial isolates and resistance rates were calculated for each antibiotic used in the microbiological culture.

Results:
Of the 3,247 clinical specimens processed, 994 (30.6%) showed microbial growth with 436 (43.9%) as gram-positive and 558 (56.1%) as gram-negative bacterial isolates. Escherichia coli (E. coli) made up 286 (28.8%) of all the isolates. Resistance to cotrimoxazole, tetracycline and cloxacilin for gram-poisitive pathogens was 93.1%, 86.4% and 72.5% respectively. For gram-negative pathogens, resistance to amoxycilin, cloxacilin and erythromycin was 100%, 96.9% and 95.6% respectively. Sensitivity to carbapenems, nitrofurantoin, and cefixime was high for gram-negative bacteria (100.0 %,76.8 % and 82.5 % respectively). Gram-positive bacteria exhibited high sensitivity to carbapenems ceftriaxone and cefixime.

Conclusion:
High rates of resistance to common antibiotics were observed for gram-positive and gram-negative isolates. Hospital pharmacies and treatment guidelines should be made to reflect the current patterns of resistance to available antibiotics.
Severe Chest Injury Revisited - An Analysis of The Jos University Teaching Hospital Trauma Registry
Authors: Peter SD , Ozoilo KN , Isichei MW , Ale F , Njem JM , Ojo E , Misauno MA , Ugwu BT 
Published: August 2023

ABSTRACT

Background:
Chest injury remains a major source of morbidity and mortality in trauma as approximately two-thirds of all severe traumas involve the chest.

Objective:
To determine the changes in the profile management and outcome of severe chest injury in Jos University Teaching Hospital, Jos, Nigeria.

Materials and Methods:
This is an analysis of the Trauma Registry of Jos University Teaching Hospital—a prospectively gathered database. Patients' entries with severe chest injuries for 7 years, from January 2012 to December 2018, were entered into a database and analyzed using the Epi Info Statistical Software, using simple statistics.

Results:
In all, 162 patients presented with severe chest injury over a 7-year period, of whom 78 (48.1%) had polytrauma, while 84 (51.9%) had isolated chest injury. There were 139 males and 23 females, giving male: female ratio of 6:1. Over 95 (58.6%) of them were between 20 and 39 years. Blunt injury was predominant, constituting 66.7%. Motor vehicular crash was the most common mechanism of injury constituting 87 (53.7%), while gunshot injuries were responsible for 34 (21%). In managing these severe chest injuries, 146 (90%) of the patients had closed-chest tube thoracostomy as the definitive treatment, while 16 (9.9%) had thoracotomy. The mean and median duration of hospital stay was 13.3 and 10 days, respectively. The commonest complication was wound infection in 8 (4.9%) patients and a mortality of 5.9%.

Conclusion:
Blunt chest injury remains the commonest mechanism of chest injury but with an increasing proportion of penetrating injuries affecting predominantly young males. Most severe chest injury patients survive with simple interventions of resuscitation, and closed-chest tube thoracostomy for definitive treatment.
Perfil neurofuncional en los trastornos del neurodesarrollo o afecciones del desarrollo infantil
Authors: Fajardo Estrada Ana Josefina 
Published: August 2023

PROBLEMA: los trastornos del neurodesarrollo y otras afecciones del desarrollo infantil necesitan de la neurociencia para conocer estrategias para su abordaje efectivo. OBJETIVO: conocer y analizar el perfil neurofuncional obtenido por medio de la evaluación de la Terapia Neurosensorial TNS en un centro terapéutico privado en la ciudad de Guatemala. MÉTODO: se realizó un estudio descriptivo, analítico y retrospectivo de una muestra de 106 niños que fueron evaluados durante los años 2021 y 2022 mediante el enfoque de la Terapia Neurosensorial TNS con el fin de analizar el perfil neurofuncional obtenido según motivo de consulta y características demográficas. RESULTADOS: se demostró que el rango etario más frecuente fue de 9 a 11 años con un 39% (N=41), el 68% de la muestra pertenecía al género masculino (N=72) y el 38% de la población acude a consulta por problemas de conducta (N=34), el 31% por Trastorno por Déficit de Atención con Hiperactividad (N=23) y el 26% debido a problemas de aprendizaje (N=23) o de ansiedad (N=24). El 55% de los evaluados presentaban comorbilidad entre las condiciones. CONCLUSIÓN: el análisis de resultados obtenidos mediante la evaluación de la Terapia Neurosensorial TNS evidencia que detrás de cada diagnóstico o condición, existe un perfil neurofuncional con diferencias en maduración a nivel de conectividad hemisférica, disfunciones de integración sensorial o reflejos retenidos.
Creencias que obstaculizan el aprendizaje de las matemáticas y sus efectos neurocognitivos
Authors: Castillo Mendoza Jim Roberto 
Published: August 2023

PROBLEMA: ¿qué factores motivan emociones que dificultan el estudio de las matemáticas en los alumnos? OBJETIVO: identificar las creencias que obstaculizan el aprendizaje de las matemáticas y sus efectos neurocognitivos. MÉTODO: estudio descriptivo de corte retrospectivo y transversal sobre las creencias que obstaculizan el aprendizaje de las matemáticas y sus efectos neurocognitivos. RESULTADOS: 71% indica tener intención por aprender matemática, 52% indica tener capacidad por estudiar matemática, 41% indican que el problema de estudiar matemática está relacionado con el método de enseñanza, 78% afirma la importancia de contextualizar los contenidos matemáticos, 70% el estudio de la matemática es motivante. CONCLUSIÓN: las creencias se relacionan con el interés, la emoción, la capacidad, las preferencias y expectativas por aprender matemáticas. Los efectos neurocognitivos de las creencias tienen conexión con la percepción, el análisis, expresión de ideas, la percepción, la evaluación, la síntesis. Las creencias pueden potenciar o limitar el interés por aprender. Los métodos de enseñanza utilizados por el profesional son de gran importancia para la construcción del conocimiento. Los avances de la neurociencia aplicada a la educación han facilitado el acceso al conocimiento del cerebro y procesos que se desarrollan en este: plasticidad cerebral, las causas y efectos del miedo, el desarrollo cognitivo, factores motivadores para el aprendizaje, la memoria, las emociones, la neurogénesis, entre otros.
Multi-double truncated continuous distribution
Authors: Al-Hasan Kawther F. , Al-Kadim Kareema Abad 
Published: August 2023

Our life contains many scientific, health, and social problems, which are complex and difficult for easy modeling. Therefore, most researchers resorted to studying distributions in different forms to be able to represent these problems, and from these new forms of distributions are called truncated distributions. This paper, suggests a new formula to find the multiple truncations for one or more intervals to a double truncated continuous distribution. Some statistical properties of multi–double truncated are introduced. Weibull distribution is applied for two intervals on the double truncation and introduced some of its statistical properties.
Some properties of subordination differential and superordination for univalent functions associated with the convolution operators
Authors: Anter Bahaa A. , Juma Abdul Rahman S. 
Published: August 2023

In this paper, we define the Hadamard product (or convolution) (f * y([h])) (x) of the analytic function in the unit disk µ = [ξ : |ξ| < 1, ξ ∈ Ȼ] with the non-zero parameter h, satisfactory to the relationship hη (f * ψ([η]))(ξ) = (hη - 1) (f * ψ([η + 1])) (ξ) + ξ(f * ψ([η + 1]))′ (ξ), to derive subordination, superordination and sandwich results for functions of the form (f * ψ([η]))(ξ) by using some properties of Subordination and Superordination concepts. Our results serve to generalize and improve some previous studies where the results of this research were applied to linear operator Bbd band the multiplier operator ℑiℓ,m. This work can be generalized to other linear operators.
CUIDADOS PALIATIVOS NA INSTITUIÇÃO DE LONGA PERMANÊNCIA PARA IDOSOS DE BELO HORIZONTE: PROJETO PALLIUM AMOR
Authors: Sacioto Manuela Furtado , Silva Bruno Gonçalves da , Valadares Gabrielle Martins Moreira , Oliveira Júlia Figueiredo , Handeri Alycia Madureira , Marques Luiza Margoto , Zavaglia Laura Caldeira , Jesus Vitória Eduarda Alves de 
Published: August 2023

Introdução: O desconhecimento sobre cuidados paliativos (CP) e o preconceito pelo tema ainda tem grande relevância no Brasil, mesmo entre os profissionais de saúde. Entre os fatores que justificam essa realidade destaca-se a deficiência na capacitação continuada dos profissionais de saúde sobre o tema. Este estudo teve como objetivo analisar o nível de conhecimento sobre CP de funcionários da saúde de uma instituição de longa permanência (ILPI) em Belo Horizonte. Métodos: Pesquisa exploratória, descritiva, com abordagem qualitativa. O local é um residencial sênior que promove cuidado continuado de idosos, foram entrevistados 22 funcionários seguindo o roteiro Bonn Palliative Care Knowledge. Resultados: A média de acerto nas perguntas foi de 47%. As perguntas de número 5, 15 e 13 foram as com a maior taxa de acerto. Já as perguntas de número 6, 17 e 4 foram com a maior taxa de erro. Discussão: Embora seja possível observar a expansão dos cuidados paliativos como prática terapêutica, há ainda, um grande déficit relacionado a essa forma de abordagem. Os países em desenvolvimento terem uma menor disponibilidade de hospices e serviços de cuidados paliativos, assim como acesso inadequado à medicações para a gestão da dor. Conclusão: Detectou-se a necessidade de aprimorar o conhecimento sobre cuidados paliativos no local. Dessa forma será possível promover ações para otimizar o cuidado a partir de educação permanente mais focada nas necessidades teórico-práticas vivenciadas.
Permafrost saline water and Early to mid-Holocene permafrost aggradation in Svalbard
Authors: Rotem Dotan , Lyakhovsky Vladimir , Christiansen Hanne Hvidtfeldt , Harlavan Yehudit , Weinstein Yishai 
Published: August 2023

Abstract. Deglaciation in Svalbard was followed by seawater
ingression and deposition of marine (deltaic) sediments in fjord valleys,
while elastic rebound resulted in fast land uplift and the exposure of these sediments to the atmosphere, whereby the formation of epigenetic permafrost was initiated. This was then followed by the accumulation of aeolian sediments, with syngenetic permafrost formation. Permafrost was studied in the eastern Adventdalen valley, Svalbard, 3–4 km from the maximum up-valley reach of
post-deglaciation seawater ingression, and its ground ice was analysed for
its chemistry. While ground ice in the syngenetic part is basically fresh,
the epigenetic part has a frozen freshwater–saline water interface (FSI), with
chloride concentrations increasing from the top of the epigenetic part (at
5.5 m depth) to about 15 % that of seawater at 11 m depth. We applied a one-dimensional freezing model to examine the rate of top-down permafrost
formation, which could be accommodated by the observed frozen FSI. The model
examined permafrost development under different scenarios of mean average
air temperature, water freezing temperature and degree of pore-water
freezing. We found that even at the relatively high air temperatures of the
Early to mid-Holocene, permafrost could aggrade quite fast down to 20 to 37 m (the whole sediment fill of 25 m at this location) within 200 years. This, in turn, allowed freezing and preservation of the freshwater–saline water
interface despite the relatively fast rebound rate, which apparently
resulted in an increase in topographic gradients toward the sea. The
permafrost aggradation rate could also be enhanced due to non-complete pore-water freezing. We conclude that freezing must have started immediately
after the exposure of the marine sediment to atmospheric conditions.
Comparison of the Efficacy of FOLFIRI and Paclitaxel Chemotherapy Regimens in the Second Line Treatment of Metastatic Gastric Cancer
Authors: ÜRÜN Muslih , GÜNER Gürkan , SEZGİN Yasin , UYSAL Emre , YILMAZ ÜRÜN Yonca , SAKİN Abdullah 
Published: August 2023

Introduction: Although the incidence of gastric cancer has shown a significant decrease over the years, it remains the fourth leading cause of cancer-related deaths, resulting in more than 700,000 annual deaths worldwide. The main goal of metastatic gastric cancer treatment is to alleviate symptoms and, if feasible, improve survival. The purpose of our study was to compare the effectiveness of two chemotherapy regimens, FOLFIRI and paclitaxel, which are commonly used in the second-line treatment of metastatic gastric cancer.
Material and Method: Patients over the age of 18 with a diagnosis of metastatic gastric carcinoma who were treated with either FOLFIRI or paclitaxel as second-line therapy were enrolled in our study. These two treatment groups were compared in terms of overall and progression-free survival.
Results: A total of 99 patients were included. 56 (56.6%) patients had received FOLFIRI and 43 (43.3%) had received paclitaxel. The median overall survival for the entire cohort was 9 months: 10 months for FOLFIRI and 8 months for paclitaxel, with no statistically significant difference between them. In multivariate analysis, Eastern Cooperative Oncology Group (ECOG) performance status, body mass index, and number of chemotherapy cycles were identified as independent prognostic factors.
Conclusion: We compared two commonly used regimens in the second-line treatment of metastatic gastric cancer, FOLFIRI and paclitaxel, in terms of overall and progression-free survival. There was no statistically significant difference between the two regimens. Both regimens can be considered as reasonable second-line treatment options. According to the results of our study, the choice of chemotherapy for second-line treatment should be made on an individual basis, considering factors such as the treatment received in the first-line, side effects, medication cost, and accessibility.
User Perceptions of Academic and Clinical Electronic Medical Records in an Undergraduate Nursing Program
Authors: Livesay Karen , Petersen Sacha , Zhao Lin , Butler-Henderson Kerryn , Abdolkhani Robab , Walter Ruby 
Published: August 2023

Background: Electronic Medical Records (EMRs) are a widely used technology within health care. Nursing students require preparation during undergraduate education for the use of EMR. Nursing educators in universities also need to be proficient with EMR. This study reports the experiences and attitudes of nursing students and nurse educators using a simulated Academic Electronic Medical Record (AEMR) system within a nursing degree. Aim: To determine nursing student and nursing educator experience with and attitudes towards EMR and AEMR. Methods: Nursing students across three years of a Bachelor of Nursing program and nurse educators teaching with an AEMR system completed an online survey. Results: Findings from participating nursing students (n=103) revealed a favourable view of the learning and clinical relevance of AEMR (87.5%). Less than half (45.5%) of the surveyed students had been exposed to EMR whilst on clinical placements. In contrast most of the students (38.8%) who had been employed in a health care setting within the previous five years had used an EMR. Nurse educator responses (n=7) showed that most (n=5) had experience with EMR and viewed AEMR as important for student learning, with fewer (n=3) regarding it as an easy system to use. Conclusion: The survey revealed that both students and educators were satisfied with AEMR - and that AEMR use was acceptable for use in the University setting. However, the survey shows student exposure to EMR on placement is low. AEMR applications have the potential to bridge the gap in student experience however adequate support and training for academic staff in the use of AEMR is required.
A REVIEW ON PHYTOCHEMICALS AND PHARMACOLOGICAL CHEMICALS OF DATE PALM (PHOENIX DACTYLIFERA)
Authors: Mehdi Shah Syed Mosyab , Abbas Naqvi Summar , Jafar Jaskani Muhammad , Mehdi Shah Irtaza 
Published: August 2023

Date palm (Phoenix dactylifera L.) is widely cultivated fruit tree having thousands of years of usage as food and medicinal plant. Its fruits, trunk and leaves contain a diverse array of phytochemicals with potential pharmacological activities. In recent years, the application of phytochemicals and biological active compounds, present in date palm, is getting attention of scientist to explore their role in the betterment of humans under malnutrition circumstances. The present review summarizes the current state of information on the phytochemicals and pharmacological activities of date palm tree. Phytochemicals found in date palm include polyphenols, flavonoids, carotenoids, tocopherols and triterpenoids. These compounds have been revealed with a wide range of anti-oxidant, anti-inflammatory, including biological activities and anti-tumor activities. Additionally, date palm has been found to have antidiabetic, hypolipidemic, and neuroprotective effects. These chemicals are also found affective against various diseases including cancer, cardiovascular issues and diabetes. These compounds have also been exposed to have cholesterol lowering anti-tumor effect and anti-inflammatory. In addition, the leaves of the date palm contain tannins, which have been found to have antimicrobial and antioxidant activities. The date palm’s fruit contains various bioactive compounds, including dietary fiber, vitamins, phenolic and minerals compounds. These compounds have been shown to have a range of health benefits, including improving gut health, reducing the stress of oxidative, and reducing the cardiovascular disease risk. Additionally, the fruit of the date palm has been found to have prebiotic effects, promoting the growth of beneficial gut bacteria.
PRIMARY OUTCOME MEASURES IN PEDIATRIC SEPTIC SHOCK: SYSTEMATIC REVIEW
Authors: Setiawati Ferianis , Prima Dewi Anis 
Published: August 2023

Introduction: Sepsis is a major cause of mortality in pediatric populations, with 22 cases per 100,000 live births in infants and 2,202 cases per 100,000 live births in neonates, causing an annual burden of 1.2 million cases. There is currently no consensus regarding the most appropriate to measure the primary outcome of pediatric septic shock.
Objective: The aim of this study was to determine the primary outcome that should be assessed in pediatric patients who experience sepsis shock
Methods: Based on Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), we searched literature from several databases (PubMed, ScienceDirect, and Web of Science) following PRISMA guidelines. The following keywords are used: ((Primary) AND (Outcome) AND (Measure) OR (Indicator) AND (Pediatric) OR (Childern) AND (Septic) AND (Shock)). Manual searches are also conducted to get relevant articles that meet the mentioned criteria. Data were extracted based on author, year, study design, sample size, results and discussion.
Results: In this systematic review, we found a total of five studies, with three types of prospective studies and two retrospective studies. A total of 5.164 cases were involved in the study, with a range years 2014 to 2023. Of the five studies, all discussed that mortality was the primary outcome measured in pediatric patients with septic shock. Other indicators that can be measured as outcomes in patients are length of hospitalization, clearance from lactic acid, and occurrence of multiple organ disfunction.
Conclusion: In pediatric patients with sepsis shock there are several primary outcomes that can be assessed. Some literature suggests that mortality is a major outcome to be considered.