bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impacto de uma colônia de férias para adolescentes com diabetes tipo 1: estudo longitudinal
Authors: Flora Marília Costa , Malheiro Maria Isabel Dias da Costa , Barros Luísa , Dingle Marina 
Published: July 2023

Objetivo: caracterizar adolescentes com diabetes tipo 1, frequentadores de uma colônia de férias, e sua evolução nas dimensões do conhecimento acerca da doença, na autoeficácia, qualidade de vida e hemoglobina glicada. Método: estudo quantitativo comparativo antes e após o campo, com seguimento de seis meses. Foram avaliados o conhecimento (teste de conhecimentos acerca da diabetes), aautoeficácia (self-efficacy diabetes scale), a qualidade de vida (disabkids chronic generic measure) e a hemoglobina glicada, em três momentos, de 2018 a 2019, em 30 adolescentes com diabetes dos 15 aos 18 anos, que participaram numacolônia de férias. Resultados: os adolescentes apresentavam inicialmente conhecimento global elevado (>80%) na área do exercício físico, hipoglicemia e complicações da diabetes, e inferior a 60% sobre conservação de insulina, substituição de lanceta, refeições, monitorização de glicose, vômitos, diarréia e consumo de bebidas alcoólicas. Os níveis de autoeficácia social aumentaram após a colônia, contudo não se mantiveram após seis meses. Não se observaram alterações nos valores da hemoglobina glicadae na qualidade de vida após a colônia. Conclusão: acolônia produziu efeito na autoeficácia social, contudo, não se pode afirmar impacto ao nível dos conhecimentos e qualidade de vida dos participantes. Os resultados sugerem a implementação de programas estruturados, com foco na promoção da autogestão da diabetes.
Low Current Intensity Plus an Ineffective Dose of Morphine Affect Conditioning Place Preference Through Different Pathways in the Lateral Habenula
Authors: Amohashemi Elahe , Reisi Parham , Alaei Hojjat Allah 
Published: July 2023

Background:
The involvement of lateral habenula and the ineffective dose of morphine on reward-related learning and memory is less well-known. This study looked into the effects of electrical stimulation, GABAB receptor blockade, and a combination of both with morphine on conditioned place preference.

Materials and Methods:
In this experiment, male rats were anesthetized with ketamine/xylazine (six rats in each group). A 5-day biased conditioned place preference paradigm was used for the behavioral test. The effects of electrical stimulation and phaclofen plus a low dose of morphine on the acquisition and expression phases were examined during conditioning sessions and before the test phase, respectively.

Results:
The conditioning scores were reduced by antagonist injection during the acquisition phase. Interestingly, different intensities exhibited opposite effects on the acquisition phase. Conditioned place preference scores during the acquisition phase were significantly induced by 25 μA electrical stimulation, while conditioning scores were suppressed by electrical stimulation at 150 μA. Phaclofen (2 μg/rat) combined with high intensity induced aversion during the acquisition phase, while inhibiting expression. In contrast, high intensity with phaclofen (1 μg/rat) inhibited only the acquisition session. However, low intensity during the acquisition phase had an additive effect that was prevented by pretreatment with phaclofen (2 μg/rat), but this response was modified by the antagonist's low dose.

Conclusions:
A behavioral technique called conditioned place preference is frequently used to evaluate learning that is related to rewards. Therefore, lateral habenula electrical stimulation and phaclofen plus morphine could affect place preference through the involvement of the reward system.
The Effect of Healthy Mental Lifestyle Package on Sleep Quality, Mental Health, and Lifestyle of Substance Users
Authors: Amini Fahimeh , Vaziri Saeed , Amini Zahra 
Published: July 2023

Background:
The aim of this study was to assess the effect of a training package based on the lived experience of substance abusers on sleep problems and mental health.

Materials and Methods:
The current study was performed on 70 subjects equally distributed into two groups of control and intervention, Data collection tools included the Pittsburgh Sleep Quality Index (PSQI), the General Health Questionnaire (GHQ), and the Basic Adlerian Scales for Interpersonal Success—Adult Form (BASIS-A) Inventory. Data analysis was administered using the independent t-test, paired t-test, and MANCOVA. Statistical significance was considered when the P value < 0.05.

Results:
A total of 70 subjects participated in this study; 7 (10.6%) were females and 59 (89.4%) were males, with a mean age of 36.29 ± 8.588 years. The total score of PSQI was 12.48 (±4.206) and 13.16 (±3.397) for control and intervention groups, respectively, and declined to 12.33 (±4.442) and 9.56 (±4.45) after the intervention. The intervention resulted in an improved score for scales of belonging, going along, taking charge, harshness, being liked by all, and striving for perfection. Whereas the total score of the GHQ is reduced for both groups, that in the intervention group showed a higher decrease, which was also statistically significant.

Conclusion:
The developed training package successfully improved participants' sleep quality, mental health, and lifestyle.
Study of the Relative Frequency of Spontaneous Pneumothorax Recurrence with two Policy Therapies: A Clinical Trial
Authors: Mohajeri Gholamreza , Talebzadeh Hamid , Fallah-Mehrjardi Ali , Soltani Hamidreza , Neshan Mahdi 
Published: July 2023

Background:
Spontaneous pneumothorax is a potentially fatal condition with a high risk of recurrence. The purpose of this study is to compare two different approaches to SP management. In the first group, patients underwent only chemical pleurodesis; in the second group, CT-scan, VATS, and then chemical pleurodesis was performed.

Materials and Methods:
This study is a non-randomized clinical trial conducted on 65 patients admitted to Al-Zahra Hospital in Isfahan with a primary complaint of sudden dyspnea and a definitive diagnosis of spontaneous pneumothorax. Two studies compared the main outcomes of recurrence within six months and the time until recurrence.

Results:
Age, sex, and BMI were matched between the two study groups. The side of the pneumothorax, smoking history, and pulmonary disease history did not differ significantly (P > 0.05). Pneumothorax recurrence did not differ significantly between the two groups (P: 0.477).

Conclusion:
This study demonstrated no distinction between VATS and chemical pleurodesis when using only chemical pleurodesis. However, because numerous studies have suggested that one of these techniques may be beneficial for patients with SP, it is recommended to conduct additional randomized controlled trials (RCTs) with a more detailed plan and more comparable procedures, although it appears that meta-analysis design may be effective given the abundance of available RCT studies.
Metabolic Abnormalities, Inflammatory Markers and Endothelial Dysfunction in Hyperprolactinemia due to Prolactinoma before and after Normalization of Serum Prolactin: A Prospective Case Control Study
Authors: Baba Mohammad Salem , Laway Bashir Ahmad , Misgar Raiz Ahmad , Wani Arshad Iqbal , Bashir Mir Iftikhar , Bhat Imtiyaz Ahmad , Haq Malik Gawharul , Shah Zafar Amin 
Published: July 2023

Background:
Hyperprolactinemia is associated with obesity, dyslipidemia, insulin resistance, and low-grade inflammation which may promote endothelial dysfunction (EnD). Limited work has been done on EnD in prolactinomas and we, therefore, studied serum markers of inflammation and EnD in patients with prolactinomas before and after treatment with dopamine agonists.

Methodology:
Fifty-six treatment naïve patients with prolactinomas and fifty-three (apparently healthy age and sex-matched) controls were enrolled in the study and subjected to clinical assessment and laboratory investigations including blood glucose, total cholesterol, triglycerides, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, urea, creatinine, uric acid, erythrocyte sedimentation rate (ESR), highly sensitive C-reactive protein (hsCRP) and markers of EnD i.e., intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1). Patients were treated with a dopamine agonist (cabergoline) and parameters (like ESR, hsCRP, ICAM-1, and VCAM-1) were measured at 12 weeks.

Results:
The majority of the patients (84%) were female, more than half (52%) had metabolic syndrome and over a third (36%) were obese. Blood glucose fasting, HbA1c, lipid fractions, ESR, hsCRP, ICAM-1, and VCAM-1 were significantly higher in patients than in controls. Median ICAM-1 was 1331.95 ng/ml (IQR 803.43-1825.99) in patients vs 753.04 ng/ml (IQR 402.04-871.55) in controls, P < 0.001 and median VCAM-1in patients was 971.35 ng/ml (IQR 695.03-1285.23) as against 634.56 ng/ml (IQR 177.49-946.50) in controls, p0.001. Serum ICAM-1 and VCAM-1 correlated positively with hsCRP. On multivariate regression analysis, serum hsCRP was the only significant predictor of change in ICAM-1 and VCAM-1. Normalization of serum PRL with CAB resulted in a significant decrease in metabolic parameters, ESR, hsCRP, ICAM-1, and VCAM-1.

Conclusion:
Hyperprolactinemia because of prolactinoma is associated with EnD secondary to systemic inflammation and metabolic abnormalities which improve after treatment with DA.
Motivation for solitude, COVID-19-related anxiety and resilience among Indian medical students
Authors: Kumar Santosh , Kumar Rajesh , Dixit Vidhata , Chaudhury Suprakash 
Published: July 2023

ABSTRACT

Background:
Recent reports indicate that self-isolation because of coronavirus disease 2019 (COVID-19)-related lockdowns had significant influence on mental health of medical students.

Aim:
To understand the relationship between two different motivations for solitude – self-determined versus non-self-determined with medical students’ COVID-19-related anxiety and psychological resilience during their self-isolation because of COVID-19-related lockdowns.

Materials and Methods:
After the approval of the Institutional Ethics Committee, this online survey was done on undergraduate Indian medical students during the COVID-19 pandemic. Expressing consent at the beginning of the online form, enabled the students to proceed to the next section comprising their sociodemographic details and clinical details. The last section of the form comprised the Motivation for Solitude Scale–Short Form, the COVID-19 Anxiety Scale, and the Connor-Davidson Resilience Scale-Abbreviated.

Results:
282 out of 286 students of either sex gave their consent and completed the given form. Both self-determined and non-self-determined motivations for solitude were higher in female medical students. The self-determined motivation for solitude was directly related to all students’ resilience. A past history of psychiatric illness was directly associated with the non-self-determined motivation for solitude of the students. The non-self-directed motivation for solitude of female students was indirectly related to their resilience. The COVID-19-related anxiety was not related to either type of motivation for solitude as well as the resilience of the medical students.

Conclusion:
Indian female medical students are more motivated for solitude, be it self-determined or non-self-determined, than their male counterparts. The student’s resilience has a direct relationship with students’ self-determined motivation. The COVID-19-related anxiety among the medical students is not related to their motivations for solitude or resilience.
An Evaluation of the Management of Hirsutism in Public versus Private Outpatient Departments in Saudi Arabia
Authors: Aldosari Malak H. , Saleh Ahmed , Kutubi Abdubadie , Al-Ruhaimi Asma F. , Bashawri Yara , Althubyani Arwa K. , Saleh Raneem , Khalil Hala 
Published: July 2023

Background:
Hirsutism is the excessive body or facial terminal (coarse) hair growth in females in a male-like pattern, carries a worldwide prevalence of 5%–20%, and requires careful evaluation and long-term management.

Purpose:
The study aims to critically appraise public and private institutions’ practices in managing hirsutism, compared against international standards. The purpose of this study was to assess how frequently patients receive counseling to address the causes of hirsutism and to determine if disease severity, screening, and outpatient management vary between public and private clinics in Saudi Arabia.

Methods:
Patients were recruited from gynecology, endocrine, dermatology, and women’s skin care clinics in public (n = 119) and private outpatient clinics (n = 238). Sociodemographics, body mass index (BMI), menstrual cycle rhythm, hirsutism site and scores, associated acne and/or alopecia, family history, and treatment modality received were queried. This study had two groups: Group 1 (n = 119) patients who were seen at public outpatient clinics and Group 2 (n = 238) patients who were seen at private outpatient clinics.

Results:
The median age was 27 years (range 18–45) and median BMI was 25 kg/m2 (range 16–44). The total mean hirsutism score was 9.3 ± 3.8. The severity of hirsutism was categorized into three groups: mild cases were recorded in 224 women (62.7%), moderate cases were recorded in 94 women (26.3%), and severe cases were recorded in 39 women (10.9%). There was no significant correlation between total mean hirsutism scores, age and BMI, P = 0.5 and P = 0.2, respectively. Approximately one-third of women were seen and investigated by physicians either at public or private clinics and about 70% of women were seen and treated by nonphysician skin care specialist without prior medical investigations in either public or private outpatient departments (OPDs).

Conclusion:
Assessment and management of hirsutism are similar in the public and private setting. Most patients presented to private rather than public OPDs and were not appropriately investigated for hirsutism. Weight reduction can be beneficial for the management of hirsutism for those with raised BMI and advice should be given accordingly in the OPD setting.
Elevating Mentorship Competency for Sustained Impact via the University of Zambia Mentor Training Program
Authors: Rose Elizabeth S. , Nzala Selestine H. , Goma Fastone M. , Gavarkavich Diane , Deepak Aditi , Parker Océane J. , Chi Benjamin H. , Reed Kristin , Heimburger Douglas C. , Martin Marie H. 
Published: July 2023

ABSTRACT.
The University of Zambia (UNZA) Mentor Training Program is conducted annually to strengthen the mentorship capacity of postgraduate programs for the health professions. This intensive five-session course trains faculty members in the mentorship of students. Established by senior UNZA leaders and US-based collaborators, this program was designed to address gaps in mentorship identified at the institutional level. Faculty facilitators developed the course curriculum and used a train-the-trainer model to ensure program sustainability. Participants were faculty members who mentor PhD and Master of Medicine students. To assess the program’s impact, mentors and their mentees completed questionnaires on the mentor’s mentoring competencies at the end of the course and 1 year later. Competency scores were compared longitudinally to quantify potential changes in mentoring behaviors. Mentors and mentees alike noted mentor growth in all competency domains from postcourse to 1 year later, providing evidence of a trend toward improvement in mentorship and that the program may have sustainable and positive effects on mentoring behaviors over time. Salient areas of growth corresponded to emphasized topics and discussions, including addressing diversity, aligning expectations, assessing capacities, motivating mentees, and fostering independence. These findings suggest that mentors internalized this content and transferred it to behavior change. The behavior changes may reveal a larger change in the institutional environment around the mentoring of students. The UNZA Mentor Training Program appears to have sustained impact after a year and should bode well for future benefits to students, faculty, and the institution.
Gerakan Ramah Anak dalam Pendidikan Agama Kristen Di tengah Budaya Suku Bali yang Patriarki
Authors: Pradnyani Ni Gusti Putu Ayudi 
Published: July 2023

Tujuan penulisan artikel ini adalah mendeskripsikan gerakan ramah anak dalam pendidikan agama Kristen di tengah budaya Suku Bali yang patriarki. Di mana, budaya patriarki dibangun atas dasar hierarki dominasi laki-laki dalam tatanan kehidupan keluarga dan perempuan lebih diarahkan untuk mengurusi kebutuhan dapur, sehingga kesetaraan gender menjadi tidak seimbang. Hal ini tentu tidak ramah terhadap anak dalam konteks dunia modern yang menuntut kesetaraan gender dalam berbagai hal. Adapun metode penelitian yang di gunakan adalah penelitian deskriptif kualitatif. Dalam kajian ini, peneliti menemukan bahwa Gerakan ramah anak dapat dimuat dalam Pendidikan Agama Kristen. Dimulai dengan memahami dan mengajarkan kepada anak dasar teologi anak, yang mana mengingatkan anak tentang harkat dan martabat yang mereka miliki adalah sama. Kemudian juga mengingatkan orang tua untuk dapat mengubah cara berpikir patriarki menjadi ramah anak, dengan cara membantu orang tua menyadari martabat semua anak, termasuk anak perempuan. Teologi anak menjadi salah satu upaya gereja untuk memperkenalkan Tuhan dan apa kehendak-Nya dalam perspektif anak. Oleh karena itu, pergeseran pemahaman ini memberikan dampak luas dan mendalam bagi jemaat suku Bali.
Sistem Pendukung Keputusan Dengan Metode SAW (Studi Kasus Bank BTPN Gresik KCP)
Authors: Arighy Erza Farrel 
Published: July 2023

Pendaftaran pekerja adalah sesuatu yang penting bagi kantor atau organisasi untuk mendapatkan perwakilan baru yang direncanakan dalam menduduki suatu posisi. Di organisasi tertentu, siklus pendaftaran sebenarnya memanfaatkan Microsoft Succeed untuk menyimpan informasi dari kandidat, mulai dari pendaftaran, mulai penentuan hingga tahap penentuan pekerja yang direncanakan. Sampai saat ini, cara mempekerjakan perwakilan di KCP Bank BTPN Gresik masih belum subjektif, yang sebenarnya menghabiskan sebagian besar hari untuk memutuskan hasil akhir dari pendaftaran pekerja sesuai aturan yang ditetapkan oleh organisasi. Persyaratan data yang cepat dan tepat juga perlu diterapkan oleh KCP Bank BTPN Gresik dalam menjaring perwakilan baru untuk dapat memilih dan memberikan SDM yang mumpuni di bidangnya. Eksplorasi berarti melibatkan strategi dalam siklus dinamis, sehingga digunakan suatu teknik, khususnya strategi ekspansi berbobot. Salah satu teknik yang dapat dimanfaatkan dalam suatu navigasi adalah Simple Additive Weighting (SAW). Teknik SAW digunakan untuk menentukan nilai tertinggi dari hasil penentuan posisi terhadap pilihan saat ini dengan menghitung ukuran dan beban yang tidak sepenuhnya ditentukan. Selain itu, eksplorasi ini dibentuk menjadi kerangka kerja data untuk bekerja dengan klien dalam melakukan sistem pendukung keputusan pimilihan karyawan yang representatif.
A ANALISIS K3 MENGGUNAKAN 5S (SEIRI, SEITON, SEISO, SEIKETSU DAN SHITSUKE) DI AREA PENGGILINGAN TEBU PT MADUKISMO
Authors: Santoso Aji Santoso 
Published: July 2023

Faktor yang menjadi potensi terjadinya kecelakaan kerja di PT Madu Baru PG. Madukismo ialah bahwa pada area penggiling produksi belum menerapkan 5S secara keseluruhan seperti banyaknya barang yang belum tersusun dengan rapi, area kerja yang kotor dan kurangnya perhatian terhadap alat pelindung diri (APD).
Usulan penerapan program 5S yang diterapkan pada setiap area penggilingan produksi yang berada di PT. Madu Baru dengan penerapan yang pertama yaitu dengan melakukan seiri atau pemilahan item pada setiap area kerja sehingga barang-barang yang tidak diperlukan disingkirkan dari area kerja. Penerapan yang kedua yaitu seiton atau penataan dilakukan agar peralatan yang disimpan terlihat lebih rapi agar menghindari potensi kecelakaan kerja terpleset benda yang brantakan. Usulan penerapan yang ketiga ialah seiso atau pembersihan, pembersihan yang diusulkan dengan memberikan tanggung jawab pada setiap operator memiliki tanggung jawab pada setiap area kerjanya sehingga area kerja terlihat bersih dan nyaman ketika melakukan pekerjaan. Penerapan selanjutnya yaitu seiketsu dengan pemberian label warna, batas pada benda, pembuatan Standard Operational Procedure (SOP) dan memberikan pemeriksaan secara harian bagi owner.
Pengaruh Beban Kerja Dan Disiplin Kerja Terhadap Kinerja Karyawan Pada Bank Perkreditan Rakyat Kawan Malang
Authors: Siti Nur Aisah  
Published: July 2023

Objektif. Diharapkan dengan beban kerja dan disiplin kerja yang tepat dapat meningkatkan kinerja karyawan.
Material and Metode. Metode analisis penelitian menguji hipotesis dengan asosiatif kausal dan pendekatan kuantitatif, populasi penelitian yang diambil sebesar 55 karyawan.
Hasil. Pengujian dengan koefisien jalur pengaruh variabel beban kerja (X1) dan disiplin kerja (X2) terhadap kinerja karyawan (Y) menggunakan pengujian statistik dimana nilai koefisien korelasi (R) sebesar 0,660 yang menunjukkan beban kerja dan disiplin kerja memiliki pengaruh langsung terhadap kinerja karyawan sebesar 66 %.
Kesimpulan. Beban kerja dan disiplin kerja yang tepat mampu meningkatkan kinerja karyawan pada Bank Perkreditan Rakyat Kawan Malang.
Producción de sandía (citrullus lanatus thunb.) En instalaciones de fispa para adopción de competencias en el área de fitosanidad
Authors: Domínguez Cartas Víctor Manuel , Velázquez Silvestre María Gisela , Castillo Capitán Guadalupe , Morales Crispín Luis Moisés 
Published: July 2023

El programa de la carrera de la Facultad de Ingeniería en Sistemas de Producción Agropecuaria (FISPA), se basa en la adquisición de competencias. Una de las estrategias de enseñanza aprendizaje utilizada es el aprendizaje situado. Un tipo de metodología usada por los docentes, para que los estudiantes enfrenten situaciones reales, o cercanas a sus ámbitos profesionales. El proyecto educativo se realizó durante el periodo febrero – julio de 2022, en el regreso a clases post pandemia Covid-19, en el módulo agrícola demostrativo (sección 1) de FISPA. El proyecto consistió en el establecimiento y manejo agronómico-fitosanitario del cultivo de sandía variedad Jubilee, por 32 alumnos de las experiencias educativas de fundamentos de fitopatología y fitosanidad. Como resultado el 84.3% de los alumnos adquirieron competencias, en la identificación y diagnóstico de enfermedades fúngicas (damping off, mildiu, tizón temprano, tizón tardío y antracnosis). El 87.5% de los alumnos aprendieron a establecer un cultivo desde el acondicionamiento del terreno, siembra de la semilla, trasplante de la planta y establecimiento del riego a partir de las necesidades del cultivo. Se concluye que el aprendizaje situado, favorece el logro de aprendizajes significativos que lleva al estudiante de FISPA de los saberes teóricos a los prácticos, creando un ambiente de liderazgo, trabajo colaborativo y aprendizaje que favorece la adquisición de competencias que le permitirán al estudiante enfrentar y resolver problemas similares en su campo profesional.