bluuebunny/crossref_metadata_2025_split huggingface dataset:
Non‐invasive ventilation for people with neuromuscular disorders in Australia and New Zealand: a qualitative study of clinician perspectives
Authors: Perry Meredith A , Jones Bernadette , Devan Hemakumar , Neill Alister , Piper Amanda , Ingham Tristram 
Published: July 2023

AbstractObjectivesTo explore the experiences of Australian and New Zealand clinicians with respect to care pathways, their awareness and use of non‐invasive ventilation guidelines, and their perspectives on delivering quality non‐invasive ventilation services to people with neuromuscular disorders.Design, setting, participantsQualitative study; semi‐structured focus groups and individual interviews with Australian and New Zealand clinicians who provide non‐invasive ventilation services to people with neuromuscular disorders, recruited from participants at a 2017 sleep medicine conference. Interviews were conducted during 1 October 2017 – 31 May 2018.Main outcome measuresMajor themes identified by an iterative, semantic, and inductive analysis.ResultsA total of 28 participants attended the four focus group sessions and five individual interviews; fourteen each from New Zealand and Australia, seventeen women and eleven men, eighteen physicians and ten other clinicians. Two major themes were identified: decision making for current practice, and resource constraints. Participants noted variable use of clinical guidelines and limited training to meet the needs of people with neuromuscular disorders who require non‐invasive ventilation. They described a lack of dedicated funding, unstructured care pathways, equipment supply levels that do not meet need, low staff‐to‐patient ratios and staff shortages, and the inability to deliver quality multidisciplinary care. The need for clinical guidelines and service specifications was highlighted as requisite for reducing variation in clinical care.ConclusionsSystemic factors influence the needs‐based provision of non‐invasive ventilation for people with neuromuscular disorders. Development of clinical guidelines for Australia and New Zealand, dedicated funding for respiratory services for people with neuromuscular disorders, and specialist clinician training are important for equitable and high quality non‐invasive ventilation care.
Substance use, socio‐demographic characteristics, and self‐rated health of people seeking alcohol and other drug treatment in New South Wales: baseline findings from a cohort study
Authors: Black Emma , Bruno Raimondo , Mammen Kristie , Mills Llewellyn , Siefried Krista J , Deacon Rachel M , Shakeshaft Anthony , Dunlop Adrian J , Ezard Nadine , Montebello Mark , Childs Steven , Reid David , Holmes Jennifer , Lintzeris Nicholas 
Published: July 2023

AbstractObjectiveTo investigate the demographic characteristics, substance use, and self‐rated health of people entering treatment in New South Wales public health services for alcohol, amphetamine‐type stimulants, cannabis, cocaine, or opioids use, by principal drug of concern.DesignBaseline findings of a cohort study; analysis of data in patient electronic medical records and NSW minimum data set for drug and alcohol treatment services.Setting, participantsPeople completing initial Australian Treatment Outcomes Profile (ATOP) assessments on entry to publicly funded alcohol and other drug treatment services in six NSW local health districts/networks, 1 July 2016 – 30 June 2019.Main outcome measuresSocio‐demographic characteristics, and substance use and self‐rated health (psychological, physical, quality of life) during preceding 28 days, by principal drug of concern.ResultsOf 14 087 people included in our analysis, the principal drug of concern was alcohol for 6051 people (43%), opioids for 3158 (22%), amphetamine‐type stimulants for 2534 (18%), cannabis for 2098 (15%), and cocaine for 246 (2%). Most people commencing treatment were male (9373, 66.5%), aged 20–39 years (7846, 50.4%), and were born in Australia (10 934, 86.7%). Polysubstance use was frequently reported, particularly by people for whom opioids or amphetamine‐type stimulants were the principal drugs of concern. Large proportions used tobacco daily (53–82%, by principal drug of concern group) and reported poor psychological health (47–59%), poor physical health (32–44%), or poor quality of life (43–52%).ConclusionsThe prevalence of social disadvantage and poor health is high among people seeking assistance with alcohol, amphetamine‐type stimulants, cannabis, cocaine, or opioids use problems. Given the differences in these characteristics by principal drug of concern, health services should collect comprehensive patient information during assessment to facilitate more holistic, tailored, and person‐centred care.
Analisis Keefektifan Media Pembelajaran Mobuya Dalam Meningkatkan Pemahaman Keragaman Budaya Pada Siswa
Authors: Yunita Tisa , Yunita Yasmin Istiqomah  , Yona Wahyuningsih  
Published: July 2023

Cultural diversity is one of the unique things that exist on this earth with various ethnic groups around the world, as well as the cultural diversity of Indonesia. Therefore, students must be familiar with the various cultural diversity that exists in Indonesia, especially those in the surrounding environment so that students have a sense of love and a sense of belonging to the diversity that exists in the surrounding environment regarding the existing diversity. This study uses a qualitative method. The results of this study aim to assist students in understanding the material on cultural diversity in high grades. The era is increasingly advanced in technology, so the learning tools used are also developing, adjusting the use of technology in learning media, so as not to foster a sense of boredom, and monotony in the classroom during the learning process.
Assessment of Mathematics and Science Teachers’ Knowledge and Practice of Feed-back System in Junior High Schools in Hohoe, Ghana
Authors: Ayikue Ambrose , Kemetse Judith Kafui , Ahadzi Daniel Kwadzo , Kumah Maxwell Seyram 
Published: July 2023

Aim: Teachers' knowledge of feedback systems encompasses their understanding of the purpose and types of feedback, as well as their knowledge of how to design and implement effective feedback processes. The practice of feedback systems refers to the extent to which they implement feedback processes in the classroom. This includes the frequency and quality of feedback provided to students, as well as the use of feedback to guide instructional decisions. Assessing teachers' knowledge and practice of feedback systems in junior high schools is important because effective feedback practices are essential for promoting student learning and academic achievement. This study aimed to assess mathematics and science teachers' Knowledge and Practice of feedback systems in junior high schools in Hohoe, Ghana.
Methods: A survey research design was used to collect data from 104 mathematics and science teachers using a self-administered questionnaire. Descriptive statistics, Mann-Whitney U test, and Pearson's correlation coefficient were used to analyze the data.
Results: The results showed that the mean Knowledge score of mathematics and science teachers was 3.12, indicating a majority agreement level of knowledge of feedback system. The mean practice score was 2.12, indicating a majority disagreement level of practice of feedback system in the classroom. There was no significant difference in knowledge and practice scores between male and female teachers. However, an inverse correlation was found between knowledge and practice scores, indicating that teachers with higher knowledge of feedback systems may not necessarily be effective at implementing those systems in practice.
Conclusion: It was observed that majority of the participants do not practice feedback in their teaching.
Recommendations: There is need for professional development programs and policies that support effective feedback practices in the classroom. Further research is needed to identify the contextual factors that influence teachers' feedback practices and their understanding of feedback purposes in Ghana.
Retrospective Evaluation of the Cases Diagnosed with Brain Death in the Neurosurgery Intensive Care Unit
Authors: TABANLI Alper , ŞAHİNKAYA Halide Hande 
Published: July 2023

Introduction:
Diagnosis and follow-up of brain death cases in intensive care units are vital in terms of donor and organ transplantation. This study was conducted to retrospectively evaluate the cases diagnosed with brain death in the neurosurgery intensive care unit.
Materials and Methods:
After the approval of the local ethics committee was obtained, patients who had been diagnosed with brain death between May 2011 and May 2021 in the Neurosurgery Intensive Care Unit of Health Sciences University Izmir Bozyaka Training and Research Hospital were evaluated retrospectively.
Results:
Of 19 patients diagnosed with brain death, 10 (52.6%) were male, 9 (47.4%) were female, and the mean age was 55.78 (30-74) years. Diagnosis at admission included intracranial hemorrhage (52.6%), traumatic brain injury (36.8%), brain tumor (5.2%), and hydrocephalus (5.2%). Accordingly, diagnostic procedures had been initiated. The diagnosis had been made via an apnea test and neurological examination in 15 of the cases. As the apnea test could not be performed in two cases, additional tests had been performed to support the diagnosis. The rate of cases becoming a donor was 15.7%.
Conclusions:
In this study, we found that the proportion of patients who had been diagnosed with brain death and had become a donor in the neurosurgery intensive care unit was low. It should be kept in mind that patients with pathologies, such as head trauma, cerebrovascular events, and poor prognosis, may be potential donors and that the necessary examinations and tests for the diagnosis should be initiated without delay.
ACİL SERVİSE İŞ KAZASI NEDENİYLE BAŞVURAN OLGULARIN MALİYET DEĞERLENDİRMESİ
Authors: BAYKAN Necmi , YAKAR Şule , İPEKTEN Funda 
Published: July 2023

Amaç: Acil servisler iş kazası olgularının ilk başvuru yeri olduğundan; tıbbi müdahale, iş kazası kayıtlarının eksiksiz tutulması ve kişilerin doğru bilgilendirilmesi açısından büyük öneme sahiptir. Bu çalışmada acil servise iş kazası nedeniyle başvuran olguların demografik ve klinik özelliklerinin değerlendirilmesi ile sağlık bakım maliyeti analizi yapılması amaçlandı.
Çalışma Planı: İki yıllık süreçte Nevşehir Devlet Hastanesi Acil Servisine iş kazası nedeniyle yapılan hasta başvurularına ait sistem kayıtları retrospektif olarak değerlendirildi.
Bulgular: Hastaların demografik özellikleri, başvuru zamanları, tanıları ve acil servisten sonlanım durumları incelendi. Hastaların tanı grupları ile acil servisten sonlanım durumları maliyet tutarları ile karşılaştırıldı. Tanı gruplarında özellikle yüksekten düşme tanısı alan hastaların diğer tanı gruplarına kıyasla maliyet kıyaslamasında anlamlı farklılık gözlendi. Acil servisten sonlanım durumlarında da beklenildiği üzere hastaneye yatırılan hasta grubu kaynaklı maliyet kıyaslamasında anlamlı farklılık gözlendi. Anlamlılık düzeyi p
Efficacy of the endoscopic clip method in patients treated with the endoscopic clip method forgastrointestinal bleeding, perforations and fistulas.
Authors: ÇALTA Alpaslan Fedayi 
Published: July 2023

Introduction:Gastrointestinal bleeding, perforations and fistulas are common conditions and can betreated with endoscopic procedures that are considered as minimally invasive procedures. With theintroduction of ovarian thescope clips (OTSC), the success of the procedure is increasing and its use isrecommended as the first step in treatment modalities. This study aims to contribute to the literatüre and share our experiences.
Methods:Between 2020 and 2023, 21 patients who underwent endoscopic clipapplication after gastrointestinal tract perforations, anastomotic leaks, fistulas, bleeding andendomucosal resection in our clinic were evaluated.
Results:A total of 21 patients, 13 males (61.9%), were included in our study. There were 16 patientsin the bleeding group, one in the anatomical leak group, one in the fistula group and three in theendomucosal resection group. No failure was seen in any patient in the bleeding group.Antithrombotic drug use did not change the success. No surgical procedure was required. At 30-dayfollow-up, only one patient (6.25%) had rebleeding and required reoperation. No complications weredetected in the procedures of endomucosal resection, fistula and clips applied in anastomotic leakage.There was a positive correlation between erythrocyte suspension replacement and length ofhospitalization (p
Analisis Komunikasi Interpersonal Melalui Aplikasi Whatsapp Group Antara Guru dan Siswa dalam Proses Pembelajaran di SMA Negeri 3 Kota Bima
Authors: Fikhratul Fikhratul , Rahmi  , Ariani rosadi  
Published: July 2023

Penelitian ini bertujuan untuk mengetahui analisis komunikasi interpersonal melalui aplikasi Whatsapp Group antara guru dan siswa dalam proses pembelajaran di SMA Negeri 3 Kota Bima dengan menggunakan metode penelitian deskriptif kualitatif. Teori yang digunakan yaitu teori efektivitas komunikasi interpersonal yang dikemukakan oleh Devito (1997). Komunikasi interpersonal dinilai berdasarkan 5 dimensi umum yaitu keterbukaan, empati, sikap mendukung, sikap positif, dan kesetaraan. Hasil dari penelitian ini menunjukkan bahwa kegiatan pembelajaran tidak bisa berjalan efektif bila hanya melalui media Whatsapp Group tanpa menggunakan metode penyampaian materi secara langsung. Hal ini dibuktikan dengan siswa dan guru yang masih mengalami banyak kendala pada saat proses pembelajaran berlangsung. Berbagai kendala yang dialami pada saat kegiatan pembelajaran dilaksanakan melalui media Whatsapp Group yaitu tingkat keterbukaan yang kecil dari siswa, empati yang sulit untuk ditunjukkan baik oleh siswa maupun guru, sikap dukungan yang terbangun tidak sekuat pada saat pembelajaran dilakukan dengan pertemuan langsung di kelas, sikap yang ditunjukkan sebagian besar siswa berlaku sebaliknya dengan apa yang diharapkan oleh guru, serta perbedaan kesetaraan makna materi pembelajaran bagi siswa dan guru.
Perfil renal asociado a mortalidad por Covid 19 en pacientes de la unidad de cuidados intensivos a nivel de Latinoamérica
Authors: Pincay Luna Mayda Yanela , Alcocer Diaz Shirley 
Published: July 2023

La enfermedad por COVID 19 impactó de manera inclemente a todas las naciones del mundo, atacando y produciendo miles de muertes, principalmente en personas de edad avanzada y aquellas con enfermedades de base, como insuficiencia renal, diabetes, hipertensión arterial y enfermedades pulmonares. El propósito de esta investigación fue generar conocimientos relevantes y actualizados con respecto a análisis útiles en el manejo de infección de COVID 19, teniendo como objetivo de investigación analizar el perfil renal asociado a mortalidad por COVID 19 en pacientes de la Unidad de Cuidados Intensivos (UCI) a nivel de Latinoamérica. Con la estrategia de búsqueda implementada se corroboró que no existen estudios realizados en la localidad. Se realizó una revisión sistemática de la literatura. La información de interés se recuperó de literatura de carácter científico, relacionada con el tema de investigación. Siendo relevante la mortalidad por casos de COVID 19, asociado a lesión renal, alcanzando cifras altas en diferentes edades y condiciones. Los principales pacientes afectados, fueron aquellos con enfermedades previas que debilitaron su sistema inmunológico. La insuficiencia renal puede ocurrir en cualquier etapa de la infección viral. El diagnóstico temprano son componentes esenciales de atención médica y el incremento de productos nitrogenados, como úrea y creatinina, las cuales se elevan en la infección, se consideraron como causa de mortalidad. La falla renal aguda se relacionó directamente con peor pronóstico y mortalidad; el género predominante fue el masculino, en rango de edades comprendido de 60 a 70 años con antecedentes patológicos.
Prevalencia de toxoplasmosis, factores de riesgo y su asociación a complicaciones en la gestación en Latinoamérica
Authors: Baque Mero Alexa Paola , Sancan Soledispa Bryan Paul , Véliz Castro Teresa Isabel 
Published: July 2023

La toxoplasmosis es la zoonosis más frecuente en los humanos, esta parasitosis causada por un protozoario conocido como Toxoplasma gondii, presenta riesgo de transmisión vertical al feto en una primoinfección durante la gestación, la cual puede producir morbimortalidad significativa en el feto y recién nacido con posibles secuelas a largo plazo en niños y adultos. Este trabajo investigativo presentó como objetivo el analizar la prevalencia de toxoplasmosis, factores de riesgo y su asociación a complicaciones en la gestación en Latinoamérica. Se realizó una investigación de diseño documental de tipo sistemática con carácter descriptivo y nivel explicativo. Mediante una búsqueda bibliográfica en las bases de datos científicas tales como: PubMed, SciELO, Elsevier, Google Scholar, Redalyc, Springer, y otras fuentes como Organización Panamericana de la Salud (OPS), Organización Mundial de la Salud (OMS), libros, y reportes de salud. El anticuerpo con más prevalencia fue el de tipo IgG anti-T gondii, en un estudio realizado en Paraguay se reportó una prevalencia del 63%, en Argentina se describió un estudio que presento una seroprevalencia general del 34,8%. En base a los principales factores de riesgo encontrados en los estudios incluidos en esta revisión se encontró el consumo de agua no potable, nivel económico, contacto con heces de gatos y el vivir en áreas rurales.
Prevalencia de Pseudomonas Aeruginosa productora de Carbapenemasa en pacientes de cuidados intensivos en hospitales de Latinoamérica
Authors: Miranda Ayala Marcela Alexandra , Lucas Parrales Elsa Noralma 
Published: July 2023

Pseudomonas aeruginosa es un patógeno nosocomial causante de múltiples infecciones y actualmente presenta bastante resistencia a diferentes antibióticos carbapenémicos. Objetivo: Establecer la prevalencia de Pseudomonas aeruginosa productora de Carbapenemasa en pacientes de Cuidados Intensivos en hospitales de Latinoamérica. Metodología: El diseño de la investigación fue cualitativo, revisión sistemática, utilizando bases de datos científicas como Cochrane, PubMed, Medigraphic, Redalyc, Scielo y Google académico y revistas científicas como Elsevier desde el año 2017-2022 en idioma inglés y español, para la búsqueda de información se hizo uso de palabras claves y los operadores booleanos como AND, OR y NOT: (Pseudomona aeruginosa) AND (prevalencia Latinoamérica); (Pseudomona aeruginosa) undefined (mecanismo de resistencia) (Pseudomonas aeruginosa), (Pseudomonas aeruginosa) AND (tipo de infecciones). Los artículos incluidos cumplieron criterios de inclusión. Resultados: La prevalencia fue 7,76% en Paraguay, México 7,9% y Colombia 38.8 %. El mecanismo de resistencia más frecuente en Perú, Colombia y Chile fue Carbapenemasa tipo MBL y KPC y en relación del tipo de infección, las más frecuentes fueron bacteriemia y neumonía en México, Colombia y Brasil. Conclusiones: Pseudomonas aeruginosa es una de las bacterias más frecuentemente aisladas en pacientes de unidades de cuidados intensivos en diferentes países de Latinoamérica, presentan multirresistencia a los antibióticos carbapenémicos, causados por diferentes mecanismos de resistencia como carbapenemasas tipo MBL y KPC y los tipos de infección más comunes son bacteriemia y neumonía todo esto ocasiona un mayor tiempo de hospitalización de los pacientes por lo tanto alto costo en el tratamiento.
Dislipidemias y su relación con la diabetes gestacional
Authors: Bajaña Maridueña Iris , Reyes Baque Javier , Valero Cedeño Nereida 
Published: July 2023

La diabetes gestacional es el trastorno metabólico más prevalente durante el embarazo. Esta investigación tuvo como objetivo de analizar evidencias bibliográficas sistemáticamente seleccionadas sobre las dislipidemias y su relación con la diabetes gestacional. Se aplicó un diseño documental tipo descriptivo. Se documentó la prevalencia mundial de la diabetes gestacional, ubicándose en un rango de frecuencia desde 1,0% hasta 49,5%; mientras que las concentraciones de lípidos séricos en las dislipidemias de embarazadas con y sin diabetes gestacional demostraron niveles significativamente más altos de triglicéridos en mujeres con diabetes gestacional que en mujeres embarazadas sanas- Se documentó la identificación de factores de riesgo para el desarrollo de dislipidemias y diabetes gestacional arrojó que los antecedentes de preeclampsia y familiares de diabetes mellitus, obesidad o índice de masa muscular alto, hipertensión, tabaquismo y edad materna, fueron los factores predisponentes que se asociaron con el desarrollo de estas patologías y en menor proporción riesgos etno-geográficos y genéticos asociados. La diabetes gestacional sigue siendo un importante problema de salud pública que necesita ser abordado según condiciones locales.
De la reconnaissance de l’individu comme sujet du Droit International : controverses doctrinales et perspectives d’avenir
Authors:   Université du Moyen Lualaba de Kalima à Maniema, SHINDANO Karim Abdoul 
Published: July 2023

La reconnaissance de l’individu comme sujet de droit international (DI) est loin d’obtenir l’unanimité de doctrines internationalistes. Elle suscite et continue à susciter de controverses doctrinales quant à l’acceptation des uns et à la négation des autres. Cette étude tente d’examiner que l’évolution qui s’est produite concernant la place de l’individu en droit international vu que par le concept individu renvoie, en principe, aussi bien aux personnes physiques qu’aux personnes morales du droit interne. La problématique abordée considère le fait que longtemps tenue pour exclusivement interétatique, la scène internationale a cessé de l'être. L'Etat n'est plus désormais le seul acteur de ce champ. D’autres intervenants transnationaux échappent à présent largement à son contrôle souverain. L’intérêt est à la fois théorique et pratique, au vu des tractations qui animent les doctrinaires internationalistes qui n'offrent pas effectivement la jouissance de cette qualité de sujet de droit international à l'individu. C’est dans la mesure où il s’acquittera de ses obligations comme ressortissant d’une nation et membre de la communauté internationale, que l’individu sera digne de posséder et de conserver ses droits et il faudra que l’humanité comprenne que si le droit interne est à l’échelle et à la taille de l’individu national, le droit international est de même à la mesure de l’individu international. Mots clés : Reconnaissance, Individu, Droit international
Hubungan Prematuritas dan Paritas dengan Kejadian BBLR di RS Kencana Serang Tahun 2019
Authors: Fathiyati Fathiyati , Octavia Rina , Fairuza Filda 
Published: July 2023

Bayi Berat Lahir Rendah (BBLR) ialah bayi baru lahir yang berat badannya saat lahir kurang dari 2500 gram (sampai dengan 2499 gram). Penelitian ini bertujuan untuk mengetahui hubungan prematuritas dan paritas dengan kejadian BBLR di RS Kencana Serang Tahun 2019. Metode penelitian yang digunakan adalah penelitian yang bersifat deskriptif analitik dengan menggunakan pendekatan cross-sectional. Sampel yang diambil secara random sampling. Jumlah angka persalinan yang ada di RS Kencana Serang tahun 2019 berjumlah 2574 ibu bersalin, kemudian diambil sampel sebanyak 346. Dari hasil penelitian di RS Kencana Serang didapatkan angka kejadian BBLR sebanyak 220 (63,6%), angka kejadian prematuritas sebanyak 189 (54,6%), angka paritas ibu dengan G1 sebanyak 111 (32,1%), G2-4 sebanyak 114 (32,9%) dan G>4 sebanyak 121 (35,6%). Dari hasil penelitian pada kategori prematur didapatkan bayi yang lahir dengan BBLR sebanyak 183 (96,8%) dan dari kategori persalinan tidak premature sebanyak 37 (23,6%). Dari hasil uji statistik terdapat hubungan yang bermakna antara prematuritas dan paritas dengan kejadian BBLR di RS Kencana Tahun 2019.