bluuebunny/crossref_metadata_2025_split huggingface dataset:
Методологія оцінки індикатора цілей сталого розвитку 11.3.1
Authors: Шелестов Андрій Юрійович , Куссуль Наталія Миколаївна , Яйлимов Богдан Ялкапович , Лавренюк Микола Сергійович , Яйлимова Ганна Олексіївна , Колотій Андрій Всеволодович , Шуміло Леонід Леонідович , Шуміло Леонід Леонідович , Пархомчук Олександр Михайлович 
Published: March 2023

Проблема сталого розвитку міст привертає широку увагу в країнах всього світу, оскільки вона тісно пов’язана із якістю життя суспільства. Зростання площ міських територій часто є непропорційним відносно темпів зростання населення в країнах, що розвиваються, і тому цю розбіжність не можна контролювати за допомогою статистики. У цій статті здійснено дослідження на основі даних дистанційного зондування землі та статистичних даних. Запропоновані в даній статті методи дозволяють порівняти глобальний картографічний шар людських поселень (Global Human Settlement Layer — GHSL), що містить в собі інформацію про забудову, з власною картою земного покриву, а також розрахувати індикатор цілі сталого розвитку (ЦСР) 11.3.1 «Співвідношення рівня землекористування до рівня зростання населення» із використанням супутникових та геопросторових даних, які дають можливість розрахувати рівень землекористування, а також здійснити його валідацію, спираючись на глобальні продукти. Обчислення темпів зростання населення є більш простим і доступним, тоді як рівень споживання землі є дещо складним і вимагає використання нових методів. Оцінюючи рівень споживання землі, необхідно визначити, що таке «споживання землі», оскільки це може охоплювати аспекти «споживаної», «збереженої» або доступної для «освоєння» землі для таких випадків, як земля, зайнята водно-болотними угіддями. Крім того, немає жодного однозначного показника, чи є земля, яка забудовується, справді «новозабудованою» (або вільною), чи вона принаймні частково «перепланована». Як наслідок відсоток загальної міської землі, яка була нещодавно забудована (спожита), використовуватиметься як міра споживання землі. Повністю забудовану територію також іноді називають забудованою. У зв’язку з цим розроблено два підходи для обрахунку наведеного індикатора: один з них — для рівня країни, для чого використовуються глобальні продукти, а інший — для регіонального рівня, для чого використовуються місцеві карти класифікації, розроблені та створені за власною методологією. Результати даного дослідження демонструють, що дані GHSL мають високу точність для оцінки індикатора ЦСР на рівні країни або регіону, проте для розрахунку цього індикатора на рівні міста краще використовувати місцеві карти класифікації. Розроблена методологія класифікації земного покриву в хмарній платформі Google Earth Engine демонструє хороші результати з високим просторовим розрізненням 10 м і може використовуватися для аналізу забудованих територій різних міст за супутниковими даними.
THE RELATIONSHIP BETWEEN SALT CONSUMPTION PATTERNS AND THE INCIDENCE OF HYPERTENSION IN THE ELDERLY AT THE KOTA TENGAH HEALTH CENTER
Authors: Yunus Mifta Hulzana , Kadir Sunarto , Lalu Nur Ayini S. 
Published: March 2023

Hipertensi menjadi masalah global karena prevalensinya yang terus meningkat dan kian hari semakin mengkhawatirkan. Pada tahun 2025 sekitar 29% orang dewasa diseluruh dunia akan menderita hipertensi. Kebaruan penelitian ini karena menganalisis hubungan konsumsi garam dengan kejadaian hipertensi pada lansia. Tujuan penelitian ini untuk menganalisis hubungan pola konsumsi garam dengan kejadian hipertensi pada lansia di Wilayah Kerja Puskesmas Kota Tengah. Penelitian ini merupakan penelitian survei analitik dengan desain cross sectional study. Populasi dalam penelitian ini adalah semua lansia baik laki-laki maupun perempuan yang menderita hipertensi di Puskesmas Kota Tengah dengan penentuan sampel menggunakan accidental sampling dengan 224 responden. Analisis data menggunakan uji chi square. Hasil penelitian didapatkan 127 orang (56,7%) yang mengkonsumsi garam tidak normal dan 97 orang (43,3%) yang mengkonsumsi garam normal, sedangkan 123 orang (54,9%) yang mengalami hipertensi dan 101 orang (49,1%) yang tidak mengalami hipertensi. Hubungan pola konsumsi garam dengan kejadian hipertensi pada lansia diperoleh denganÂ nilai p value 0,012 Â Î± 0,05. Simpulan terdapat hubungan antara pola konsumsi garam dengan kejadian hipertensi pada lansia di Puskesmas Kota Tengah. Kata Kunci : Hipertensi; Konsumsi Garam;Â Lansia.AbstractHypertension is a global problem because of its increasing prevalence and increasingly alarming day by day. By 2025 about 29% of adults worldwide will suffer from hypertension. The novelty of this study is because it analyzes the relationship of salt consumption with hypertension in the elderly. The purpose of this study was to analyze the relationship between salt consumption patterns and the incidence of hypertension in the elderly in the Kota Tengah Puskesmas Working Area. This research is an analytical survey study with a cross sectional study design. The population in this study was all elderly people, both men and women who suffered from hypertension at the Kota Tengah Health Center with sample determination using accidental sampling with 224 respondents. Data analysis using chi square test. The results of the study obtained 127 people (56.7%) who consumed abnormal salt and 97 people (43.3%) who consumed normal salt, while 123 people (54.9%) who had hypertension and 101 people (49.1%) who did not experience hypertension. The relationship between salt consumption patterns and the incidence of hypertension in the elderly was obtained with a p value of 0.012 Î± 0.05. In conclusion, there is a relationship between salt consumption patterns and the incidence of hypertension in the elderly in the Kota Tengah Health Center. Keywords : Hypertension; Salt consumption;Â Elderly.
KNOWLEDGE ANALYSIS WITH THE USE OF ANTIBIOTICS IN THE PEOPLE OF BREBES REGENCY
Authors: Septiani Nur , Susanto Agus , Nurcahyo Heru 
Published: March 2023

Antibiotik merupakan obat yang banyak digunakan untuk mengobati infeksi, tetapi sering tidak tepat dalam pemakaiannya.Â Ketidaktepatan dalam menggunakan antibiotik berdampak pada resistensi. Ketidaktepatan dalam mengonsumsi dipengaruhi oleh banyak faktor, salah satunya adalah pengetahuan. Faktor pengetahuan tentang antibiotik yang baik berdampak pada ketepatan dalam menggunakan antibiotik. Kebaruan penelitian ini karena peneliti menganalisis pengetahuan dengan penggunaan antiobiotik pada masyarakat usia dewasa. Penelitian ini bertujuan untukÂ menganilsisis korelasi antara pengetahuan dengan penggunaan antibiotik.Â Penelitian ini menggunakan pendekatan cross-sectional.Â Populasi adalah Masyarakat Kabupaten Brebes yang berusia dewasa (18 tahun ke atas) dan dalam enam bulan terakhir pernah menggunakan antibiotik.Â Besar sampel penelitian adalahÂ 380 orang yang dipilih dengan menggunakan teknik simple random sampling. Pengumpulan data menggunakan kuesioner. Analisis data menggunakan analisis univariat dan bivariat. Uji korelasi dilakukan dengan menggunakan uji Chi-Square dengan batas signifikansi 0,05. Hasil penelitian didapatkanÂ pemahaman tentang antibiotik mayoritas respondenÂ pada kategori cukup baik (61,1%)Â dan penggunaan antibiotik paling banyak pada kategori cukup baik (51,0%). Hasil uji korelasi antar variabel pengetahuan dengan penggunaan antibiotik adalah 0,000 (pv0,005). Kesimpulan terdapatÂ hubungan yang signifikan antara pengetahuan dengan penggunaan antibiotik. Kata kunci: Antibiotik; Pengetahuan;Â Penggunaan.AbstractAntibiotics are drugs that are widely used to treat infections, but are often incorrect in their use. Inaccuracy in using antibiotics has an impact on resistance. Inaccuracy in consuming is influenced by many factors, one of which is knowledge. The factor of knowledge about good antibiotics has an impact on the accuracy in using antibiotics. The novelty of this study is because researchers analyze knowledge with the use of antiobiotics in adult society. This study aims to analyze the correlation between knowledge and the use of antibiotics The size of the study sample was 380 people who were selected using a simple random sampling technique. Data collection using questionnaires. Data analysis using univariate and bivariate analysis. The correlation test was performed using the Chi-Square test with a significance limit of 0.05. The results of the study obtained an understanding of the antibiotics of the majority of respondents in the fairly good category (61.1%) and the use of antibiotics the most in the fairly good category (51.0%). The result of the correlation test between knowledge variables and the use of antibiotics was 0.000 (pv0.005). Conclusion there is a significant relationship between knowledge and the use of antibiotics.Keywords: Antibiotic; Knowledge; Usage.
Densitometric justification of the diagnosis of osteoporosis in patients with chronic kidney disease stage 5D
Authors: Mazurenko S. O. , Nakatis Ya. A. , Mazurenko O. G. , Vasilyev A. N. , Enkin A. A. , Staroselsky K. G. , Samokhvalova N. A. , Semenova T. S. , Grusmanov A. K. 
Published: March 2023

BACKGROUND. Chronic kidney disease leads to increased bone fragility and fractures. Assessing the risk of fractures is a direct way to prevent them. THE AIM: to assess the possibility of using DXA to predict fracture risk in patients with stage 5D CKD. PATIENTS AND METHODS. The prospective cohort study included 359 patients (166 men, 193 women). BMD was evaluated by DRA. Some markers of mineral and bone metabolism were also analyzed. All fractures in patients were recorded from the moment of inclusion in the study. RESULTS. All patients with fractures had lower BMD and received longer-term renal replacement therapy (RRT). The absolute risk of fractures increased as BMD decreased. Patients with fractures had higher levels of parathyroid hormone and alkaline phosphatase. Stepwise multivariate regression analysis showed that the combination of BMD scores of the forearm, hip, lumbar vertebrae and the duration of RRT best predicts the risk of fractures. The presence of previous fractures also increases risk for the future. Risk of fractures in man and women did not differ. CONCLUSION. The risk of fractures in patients with CKD 5 st. on maintenance hemodialysis increases with a decrease in BMD, an increase in the duration of RRT and the presence of previous fractures, but does not significantly depends on the gender of the patients. It is also can be concluded that it is possible to use criteria reflecting the state of BMD, taking into account their sensitivity and specificity, in assessing the risk of fractures in patients with CKD 5D st.
Physical performance of patients with chronic kidney disease stage 5D and coronary heart disease
Authors: Korosteleva N. Yu. , Rumyantsev A. Sh. , Khasun M. Kh. , Lukichev B. G. , Lebedeva E. B. , Grigoryan E. V. , Kulaeva N. N. 
Published: March 2023

BACKGROUND. Assessment of physical performance in patients is usually based on the results of the 6-minute walk test, which is primarily associated with heart or respiratory failure. THE AIM: to analyze the results of the 6-minute walk test with clinical and laboratory parameters of patients with CKD 5D, including criteria for protein-energy malnutrition. PATIENTS AND METHODS. 67 people with CKD 5D were examined, including 42 men and 25 women, mean age 49.0 ± 14.9 and 57.2 ± 15.5 years, respectively, p = 0.036. The duration of RRT in men was 96.1 ± 80.3 months, in women 100.7 ± 66.1 months, p = 0.810. The diagnosis of coronary heart disease was established in 22 people, 7 of them had AMI. The muscle strength of the skeletal muscles was assessed using a hand dynamometer, the performance of the skeletal muscles – during a test with a 6-minute walk. All patients filled out food diaries, where they indicated the qualitative and quantitative composition of the food which they consumed for 3 days. RESULTS. Walking load was most easily tolerated by patients without clinical manifestations of CAD. Between patients with and without AMI in history, the number of points on the Borg scale was comparable and reached the maximum values. The highest concentration of C-reactive protein and the lowest concentration of serum albumin were observed in patients who had had AMI. Relationships were found between serum albumin with C-reactive protein and the results of the 6-minute walk test, as well as between the mass index of the left ventricular myocardium with the results of the 6-minute walk test. CONCLUSION. Left ventricular hypertrophy masks the clinical signs of reduced physical performance, but increases the risk of cardiovascular complications. The results of the 6-minute walk test in patients with CAD should be evaluated in more detail. A number of studies are needed to clarify how dietary recommendations should be modified depending on the level of systemic inflammation in CKD.
Paradigms of megapolis nephrology in a changing world: status, problems and prospects of development of the nephrological service of St. Petersburg
Authors: Belskikh A. N. , Marukhov A. V. , Konakova I. N. , Zakharov M. V. , Chubchenko N. V. 
Published: March 2023

The course of the COVID-19 pandemic has led to a critical increase in the burden on virtually all major branches of the health care system in our country and abroad. The aim of this article is to analyse the activities of the different parts of the city nephrol­ogy service in Saint-Petersburg and to consider promising ways to improve it. The nephrology service for the adult population in St. Petersburg includes: outpatient service; inpatient service - 183 beds in 24-hour inpatient departments of the city; dialysis service - 10 dialysis units in municipal medical organizations, 5 in federal institutions, and 8 centers/departments operating in the framework of private-public partnership. The number of patients on dialysis programme decreased by 10.5 % to 1,839 in 2021. These changes are likely due to an increase in mortality among these patients in 2020 and 2021 which is a consequence not only of COVID-19 but also of the adverse impact of the pandemic on the health system. The proportion of patients treated as outpatients in private dialysis centres increased during the three-year period. The incidence of arteriovenous fistula formation in primary vascular access decreased from 33.2 % to 14.2 % in 2020 compared with 2019. At the same time, the use of temporary central venous catheters as primary vascular access for renal replacement therapy has increased significantly from 43.0 % to 61.9 %. The development of the nephrology service is largely determined by its funding. To compensate the costs of medical in­ stitutions in the city for conducting renal replacement therapy it is necessary to increase the tariffs of compulsory health insurance (CHI) by at least 50 %. In the medical organizations of Saint-Petersburg municipal and federal subordination the share of "artificial kidney" devices that have used up their resource is 32.2 %, and in a number of medical institutions it exceeds 50 %.
Formação de graduandos da área da saúde em infecção comunitária
Authors: Fernandes Neta Josefa Nilza , Eliete Batista Moura Maria , Rodrigues Moura da Costa Valle Andréia , Ibiapina Tapety Fabrí­cio , Campelo Lago Eliana 
Published: March 2023

Objetivou-se descrever a formação de graduandos da área da saúde em infecção comunitária. Pesquisa qualitativa, realizada com 157 graduandos da área da saúde, em 2014. Utilizaram-se entrevistas estruturadas, processadas no software IRAMUTEQ e analisadas pela Classificação Hierárquica Descendente, resultando seis classes: Classe 1 – O conceito de infecção comunitária; Classe 2 – Conhecimento dos graduandos sobre infecção comunitária, adquirido na formação; Classe 3 – Os conteúdos relacionados í infecção comunitária existentes no currí­culo dos cursos; Classe 4 – Prevenção e controle da infecção comunitária; Classe 5 – Técnicas de controle da infecção comunitária; Classe 6 – Medidas de biossegurança adotadas pelos graduandos da saúde. Os graduandos ainda não possuem um conceito de infecção comunitária construí­do, necessitando de mudanças no projeto pedagógico, com o objetivo de formar profissionais com competências e habilidades necessárias para a prevenção e controle da infecção comunitária.
Percepções dos médicos e reflexões multidisciplinares na atenção primária í saúde
Authors: Vieira Regis Rodrigues , Corvino Marcos Paulo Fonseca , Chavaglia Suzel Regina Ribeiro , Franco Reginara Ferreira 
Published: March 2023

Objetivou-se avaliar as percepções e inquietações dos médicos no trabalho em equipe multidisciplinar e, compreender a influência destas reflexões na formação permanente. Estudo descritivo com abordagem qualitativa, tipo estudo de caso, desenvolvido através de entrevistas semiestruturadas realizadas com os médicos das Unidades de Saúde da Famí­lia de um municí­pio do Rio de Janeiro. Os dados foram analisados segundo referencial teórico de Bardin- Análise de Conteúdo. Foram entrevistados cinco médicos e dos discursos emergiram três categorias: desafio da integração dos diferentes saberes, sobrecarga de trabalho e médico: profissional reflexivo. Compreender as relações entre médicos e a equipe multidisciplinar em saúde, as inquietações dos profissionais em discussões e reflexões evidenciam pontos a serem discutidos e alinhados junto a equipe e o quão enriquecedor í formação continuada e se tornar um caminho de fortalecimento da polí­tica de Educação Permanente na Atenção Primária í Saúde.
Qualidade de vida dos graduandos de enfermagem: Uma revisão integrativa
Authors: Seltenreich Leticia da Silva , Galante Marcele Silva , Barea Cristina Aparecida Aidar , Silva Luciane Pereira da , Morais Júnior Sérgio Luis Alves de 
Published: March 2023

Objetivou-se identificar como a qualidade de vida interfere durante a formação universitária em enfermagem. Trata-se de um revisão integrativa da literatura realizada na Biblioteca Virtual em Saúde (BVS), especificamente nas bases de dados eletrônicas LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde), BDENF (Base de Dados de Enfermagem) e MEDLINE (Literatura Internacional em Ciências da Saúde), após passarem pelos critérios de inclusão e exclusão, onde definiu-se a utilização de publicações cientificas no perí­odo de 2004 a 2017, que abordem o tema, no idioma português, com textos completos. Foram selecionados quatorze artigos para este estudo. Observou-se que a qualidade de vida foi avaliada positivamente pelos estudantes de enfermagem. Os instrumentos utilizados nos estudos: WHOQOL-BREF, questionário IQV "Quality of Life Index", teste de normalidade Kolmogorov-Smirnov e o t de Student e questionários próprios. Houve apontamentos positivos e negativos em relação í satisfação com a qualidade de vida pelos graduandos em enfermagem. As questões insatisfatórias contemplaram: recursos financeiros, gastos com trabalhos, qualidade do sono, falta de tempo para lazer e carga horária do curso.
Desafios enfrentados pelos enfermeiros para garantir sua autonomia no cenário de alta complexidade
Authors: Oliveira Nayara Coutinho de , Peçanha Taynara Brum Almeida , Fonseca Caroliny dos Santos Guimarães da 
Published: March 2023

Objetivo: apontar quais os desafios enfrentados pelos enfermeiros que atuam em setores crí­ticos para garantir a sua visibilidade frente í equipe multidisciplinar e reforçar a sua autonomia, além de analisar estratégias que reforcem a sua independência profissional e valorização. Metodologia: revisão integrativa da literatura, de natureza qualitativa e caráter descritivo. Foi realizada busca da literatura nas bases de dados da MEDLINE, da BDENF, e do LILACS no perí­odo de agosto de 2018 a julho de 2019 e a técnica utilizada para tratamento dos dados foi a análise de conteúdo proposta por Bardin. Resultados: foram selecionadas nove publicações para fundamentar o estudo proposto. Discussão: o conteúdo da análise foi sintetizado em dois grupos: os desafios enfrentados pelos enfermeiros e as estratégias que podem ser adotadas. Conclusão: Embora haja obstáculos nos setores crí­ticos que limitem as ações, a autonomia dos enfermeiros está em construção contí­nua e há estratégias que viabilizam este processo.
Complex hiatal hernia with gastric volvulus associated
Authors: Pérez Naranjo P , Briones Bajaña FS 
Published: March 2023

Resumen

La infección gástrica por Helicobacter pylori (H. pylori) es muy prevalente, afectando alrededor de un 60% de la población en España. Puede producir patologías muy variadas. La lesión que más frecuentemente produce es la gastritis crónica superficial, permaneciendo asintomáticos el 90% de los pacientes infectados.

A pesar de que la infección por H. pylori es más prevalente en los pacientes con dispepsia funcional, la erradicación de la infección sólo consigue la resolución de los síntomas en un 10% de los pacientes dispépticos. Independientemente de este hecho, el diagnóstico y tratamiento de la infección por H. pylori es de primera línea en los pacientes con dispepsia funcional.

H. pylori es un carcinógeno tipo 1 según la Organización Mundial de la Salud. La infección por H. pylori se relaciona directamente con el adenocarcinoma gástrico (intestinal o difuso) y sus lesiones precursoras (gastritis atrófica y metaplasia intestinal). La erradicación de la infección disminuye el riesgo de desarrollarlos.

La infección por H. pylori también puede inducir linfoma gástrico del tejido linfoide asociado a mucosas (linforma MALT). La erradicación es el tratamiento de primera línea en estadios iniciales con buenas tasas de respuesta y supervivencia a largo plazo.
Gait instability as a debut of esophageal cancer?
Authors: Navarro Moreno E , Calvo Bernal MM , Diéguez Castillo C 
Published: March 2023

Resumen

El cáncer de esófago es uno de los tumores más agresivos siendo más frecuente en edades más avanzadas. Se propaga fácil y rápidamente hacia órganos vecinos de mediastino y abdomen principalmente, provocando que hasta un 40% de los pacientes presenten un estadio avanzado al momento del diagnóstico. Las metástasis típicas incluyen ganglios linfáticos, hígado, peritoneo y pulmón. Se presenta el caso de un paciente de 65 años que consulta por inestabilidad de la marcha diagnosticándose finalmente de adenocarcinoma esofágico con metástasis cerebrales.
Family adenomatous polyposis associated with desmoid tumors: diagnosis by imaging.
Authors: Garrido Márquez I , Calvo Bernal MM , Pérez Cuenca E 
Published: March 2023

Resumen

La fibromatosis agresiva o tumor desmoide es una rara enfermedad que se presenta de forma esporádica o asociada con la poliposis adenomatosa familiar (PAF). Su manifestación clínica es muy variada y depende fundamentalmente de la localización, siendo la mayoría de ellos intraabdominales. Su diagnóstico definitivo será anatomopatológico, si bien pruebas de imagen como la tomografía computarizada (TC) o la resonancia magnética (RM) pueden aportar una buena aproximación al mismo.

Los tumores desmoides constituyen la principal causa de morbimortalidad en los pacientes con PAF, siendo los principales factores de riesgo para su desarrollo el sexo femenino y la cirugía previa abdominal. Su tratamiento ha evolucionado en la actualidad, por lo que la cirugía es controvertida, habiendo opciones más novedosas dentro del tratamiento médico.