bluuebunny/crossref_metadata_2025_split huggingface dataset:
Correlation of Absolute Lymphocyte Count with Severity of COVID-19 at Dr. Mohammad Hoesin General Hospital Palembang
Authors: Zen Ahmad  , Karsita Yulia Nugraha , Phey Liana  , Erial Bahar  
Published: August 2022

Background: The rRT-PCR examination is very effective as a diagnostic tool for COVID-19 but cannot be a full reference as an evaluation examination because rRT-PCR is able to capture the genetic material of the virus without ensuring that the virus is still alive or only dead particles. This study aims to explore the correlation between absolute lymphocyte values and the severity of COVID-19 at Dr. Mohammad Hoesin General Hospital Palembang.
Methods: This study is an observational study involving 413 research subjects at Dr. Mohammad Hoesin General Hospital. Data analysis was carried out univariate and bivariate.
Results: The absolute number of lymphocytes with the severity of COVID-19 has a negative correlation, with a strong correlation strength, which is expressed by the value of r = -0.617 and the degree of significance of p = 0.000.
Conclusion: There is a correlation between absolute lymphocyte count and the severity of COVID-19 at Dr. Mohammad Hoesin General Hospital Palembang.
KAJIAN NARATIF: HUBUNGAN OBESITAS DENGAN KEJADIAN KANKER PAYUDARA PADA WANITA
Authors: Wahdini Nizkiya , Suryamah Yeni 
Published: August 2022

Latar Belakang: Kanker payudara menjadi penyebab utama kejadian kanker global pada tahun 2020, diperkirakan 2,3 juta kasus baru dengan kematian 685.000. Data dari Global Burden of Cancer yang dirilis oleh WHO tahun 2020 bahwa kasus baru kanker payudara di Indonesia yaitu 65.858 kasus, sedangkan kasus kematian akibat kanker payudara yaitu 22.430 kasus. Salah satu faktor risiko kanker payudara adalah obesitas. Obesitas didefinisikan sebagai akumulasi lemak abnormal atau berlebihan yang menimbulkan risiko bagi kesehatan.
Tujuan: untuk mengetahui hubungan antara obesitas dengan kejadian kanker payudara pada wanita.
Metode: Pencarian literatur bersumber dari Google Scholar dan PubMed yang dipublikasi dari tahun 2016-2021. Kata kunci yang digunakan digunakan adalah “Obesitas”, “Kanker Payudara”, “IMT” “Wanita”, “Obesity”,“Breast Cancer”, “BMI”,“Woman”. Dalam kajian naratif ini yaitu ada 12 artikel yang akan dikaji.
Diskusi: Wanita obesitas pascamenopause memiliki risiko lebih tinggi untuk terkena kanker payuda daripada wanita pramenopause. Pada wanita obesitas pascamenopause, kanker payudara dapat berisiko pada IMT ≥30 kg/m2, sedangkan pada wanita obesitas pramenopause, kanker payudara dapat berisiko pada IMT ≥25 kg/m2.
Kesimpulan: Obesitas menjadi salah satu faktor risiko kanker payudara pada wanita pramenopause dan wanita pascamenopause dengan tingkat risiko yang berbeda. Penurunan berat badan disarankan untuk wanita pramenopause dan wanita pascamenopause untuk menjaga berat badan tetap normal agar tidak terjadi obesitas.
Gender Microaggressions During Virtual Residency Interviews and Impact on Ranking of Programs During the Residency Match
Authors: Hoi Karen K. , Kana Lulia A. , Sandhu Gurjit , Jagsi Reshma , McTaggart Suzy , Miller Jessa E. , McKean Erin L. 
Published: August 2022

ABSTRACT

Background
Microaggressions are one form of gender bias contributing to gender disparities and mistreatment, but their prevalence during virtual residency interviews has not been explored.

Objective
To explore applicants' recall of experiencing gender microaggressions during virtual residency interviews and whether these experiences affected programs' rank position on applicants' rank lists.

Methods
Fourth-year medical students at a single institution who participated in the 2021 Match were surveyed after submitting their rank lists. Students were surveyed categorically on (1) their recall of the frequency they experienced 17 gender microaggressions during interviews, and (2) how these affected reported ranking of programs on their rank lists.

Results
Sixty-one percent (103 of 170) of eligible students responded to the survey. Seventy-two percent (36 of 50) of women experienced at least one microaggression compared to 30% (9 of 30) of men. The largest difference was in the experience of environmental microaggressions, which are demeaning cues communicated individually or institutionally, delivered visually, or that refer to climate (P&lt;.001). Women experienced more microaggressions than men in nonsurgical (P=.003) and surgical specialties excluding obstetrics and gynecology (P=.009). When microaggressions were experienced at 1 to 2 programs, 36% of applicants (26 of 73) reported significantly lowering program ranking, compared to 5% (1 of 19) when microaggressions occurred at more than 5 programs (P=.038).

Conclusions
Women applicants experience more microaggressions than men do during nonsurgical and male-dominated surgical specialty residency interviews. Respondents who recalled experiencing microaggressions at fewer programs were more likely to report significantly lowering the rank of those programs compared to those who experienced them at more programs.
Diagnostic Reasoning of Resident Physicians in the Age of Clinical Pathways
Authors: Congdon Morgan , Clancy Caitlin B. , Balmer Dorene F. , Anderson Hannah , Muthu Naveen , Bonafide Christopher P. , Rasooly Irit R. 
Published: August 2022

ABSTRACT

Background
Development of skills in diagnostic reasoning is paramount to the transition from novice to expert clinicians. Efforts to standardize approaches to diagnosis and treatment using clinical pathways are increasingly common. The effects of implementing pathways into systems of care during diagnostic education and practice among pediatric residents are not well described.

Objective
To characterize pediatric residents' perceptions of the tradeoffs between clinical pathway use and diagnostic reasoning.

Methods
We conducted a qualitative study from May to December 2019. Senior pediatric residents from a high-volume general pediatric inpatient service at an academic hospital participated in semi-structured interviews. We utilized a basic interpretive qualitative approach informed by a dual process diagnostic reasoning framework.

Results
Nine residents recruited via email were interviewed. Residents reported using pathways when admitting patients and during teaching rounds. All residents described using pathways primarily as management tools for patients with a predetermined diagnosis, rather than as aids in formulating a diagnosis. As such, pathways primed residents to circumvent crucial steps of deliberate diagnostic reasoning. However, residents relied on bedside assessment to identify when patients are “not quite fitting the mold” of the current pathway diagnosis, facilitating recalibration of the diagnostic process.

Conclusions
This study identifies important educational implications at the intersection of residents' cognitive diagnostic processes and use of clinical pathways. We highlight potential challenges clinical pathways pose for skill development in diagnostic reasoning by pediatric residents. We suggest opportunities for educators to leverage clinical pathways as a framework for development of these skills.
ANALISIS TINGKAT MINAT MASYARAKAT TERHADAP OLAHAN CISTIK BUAH MANGROVE API-API (Avicennia Marina) DI DESA PARE MAS KECAMATAN JEROWARU KABUPATEN LOMBOK TIMUR
Authors: MISNAWATI  , HANDRI JURYA PARMI  , RIA ASHARI  
Published: August 2022

Mangrove api-api adalah tumbuhan berbiji (kyptovivipary) yang memiliki akar napas (pneumatofora) yang merupakan akar yang bercabang, bunga, buah, daun. Penelitian ini bertujuan untuk mengetahui tingkat minat masyarakat terhadap olahan buah mangrove api-api (Avicennia Marina). Metode yang digunakan adalah metode metode observasi, ekperimen dan kuisioner, penarikan sampel dengan menggunakan metode sampling total.
Penelitian ini dilakukan pada tanggal 25 Agustus sampai 23 September 2021 di Desa Pare Mas Kabupaten Lombok Timur. Untuk menguji tingkat minat terhadap olahan buah mangrove dalam penelitian ini dengan mengunakan uji skor (scoring test). Berdasarkan hasil uji organoleftik menunjukan bahwa responden terhadap olahan cistik buah mangrove memberikan pengaruh berbeda nyata pada rasa, kerenyahan, dan aroma. Perlakuan terbaik berdasarkan penilaian responden adalah p3, pada rasa dengan nilai 4,77, kerenyahan dengan nilai 4,82, dan aroma dengan nilai 4,85.
PENGARUH PERBEDAAN WAKTU PENANGKAPAN TERHADAP HASIL TANGKAPAN RAJUNGAN (Portunus pelagicus) DENGAN ALAT TANGKAP JARING DI PERAIRAN DUSUN UJUNG DESA PEMONGKONG
Authors: LALU ARI YENDRI AILIS SADIKIN  , MOHAMMAD SUBHAN  , JUNAIDI  
Published: August 2022

Waktu yang efektif dalam upaya menjadi permasalahan utama yang dihadapi oleh nelayan penangkap Kepiting Ranjungan (portunus pelagicus) di Desa Pemongkong Kecamatan Jerowaru Kabupaten Lombok Timur. Penelitian ini bertujuan untuk mengetahui pengaruh perbedaan waktu penangkapan terhadap hasil tangkapan ranjungan (portunus pelagicus) dengan alat tangkap jaring di perairan Dusun Ujung Desa Pemongkong. Metode penelitian ini menggunakan metode eksperimen selanjutnya data dianalisis dengan analisis Ragam (ANOVA).
Berdasarkan hasil kegiatan penelitian maka dapat disimpulkan bahwa waktu penangkapan tidak berpengaruh terhadap hasil tangkapan Kepiting Rajungan (Portunus Pelagicus) baik dalam satuan berat (kg) maupun dalam satuan ekor
Kata Kunci: Penangkapan, Rajungan, Pemongkong
ABSTRACT
Effective time in an effort to be the main problem faced by fishermen catching Ranjungan Crab (Portunus pelagicus) in Pemongkong Village, Jerowaru District, East Lombok Regency. This study aims to determine the effect of differences in fishing time on the catch of pangasius (Portunus pelagicus) with fishing nets in the waters of the hamlet of the village of Pemongkong. This research method uses an experimental methode, then the data is analyzed by analysis of variance (ANOVA).
Based on the results of research activities, it can be concluded that the time of catching has no effect on the catch of Crab Crab (Portunus pelagicus) both in weight units (kg) and in tail units.
Keywords: Arrest, Crab, Pemongkong
O IMPACTO DAS MÍDIAS DIGITAIS NA EDUCAÇÃO
Authors: Alves Guimarães Ueudison , Elias Brito Cascalho Claudia , Helena Menegussi Maria 
Published: August 2022

Com base na expressão mídias digitais, cada vez mais vêm sendo observados seu uso no contexto escolar, tendo em vista resultados positivos obtidos em sala de aula. Essas ferramentas tornaram-se essenciais no ensino no início do surto pandêmico, assim as aulas foram conduzidas no Brasil e no mundo. Foram meses, anos de isolamento social imposto pelos governos, a fim de frear o avanço da doença. Assim, o objetivo deste artigo foi conhecer quais são as principais tecnologias pedagógicas que o professor pode utilizar para tornar sua aula dinâmica e possibilitar que os alunos sejam os construtores de seus próprios conhecimentos. Para isso, realizou-se uma revisão de literatura sobre o tema, buscando predominantemente artigos científicos, livros, ebook, suas apurações e resultados. Os resultados apontaram que as narrativas conectadas tiveram boa aceitação por parte dos alunos, ainda que alguns professores tenham dificuldades em tal aplicação, seja por receio do desconhecimento ou pela falta de infraestrutura na escola.
SYSTEMATIC LITERATURE REVIEW OF INTERVENTIONS SUPPORTED BY INTEGRATION OF ICT IN EDUCATION TO IMPROVE LEARNERS' ACADEMIC PERFORMANCE IN STEM SUBJECTS IN KENYA
Authors: Macharia Jimmy Macharia 
Published: August 2022

Poor Learners' Academic Performance in Science, Technology, Engineering & Mathematics (STEM) Subjects has become one of the main problems of education systems in many countries and worldwide learning institutions. They are expected to become more common in the forthcoming decades. This article aims to provide a systematic literature review and a descriptive evaluation of the interventions supported by the integration of information and communication technology (ICT) in education to improve learners' academic performance in STEM Subjects. This paper adopted a systematic literature review of five databases namely: -Emerald, EBSCOhost, JSTOR, Wiley Online, and Taylor & Francis. The paper provides a quantitative and qualitative description of `critical studies about Interventions Supported by Integration of ICT in Education for the Improvement of Learners' Academic Performance in STEM Subjects in Kenya. The following factors were considered for the analysis: teacher's plausible skills capacity interventions, Access to ICT in Education, and availability of digital content in the cloud. The systematic review demonstrated that interventions supported by the integration of information and communication technology (ICT) in education to improve learners' academic performance in STEM Subjects have several gaps that need to be addressed to make them more effective. Study findings show varying perspectives regarding ICT integration in STEM subjects. ICT access, skills capacity interventions, and access to cloud digital content pose a challenge in teachers' pedagogical practices, affecting learner performance. Despite the comprehensive literature search and review across geographical regions within limits of time and access, it is clear that the study findings prepare the ground for further research and the possibility of capacity-building interventions,
This paper has established a need for a more effective pedagogical design promoting technology-supported collaborative learning to prepare learners for the twenty-first century STEM subjects. Further, this study recommends future studies to evaluate interventions to overcome barriers, including teacher access to ICT Education in parts of the world, technology infrastructure, software, and relevant teacher training curriculum for STEM competencies. In addition, further work is required to address the challenge of the glaring lack of access, relevant content, and the necessary infrastructure for digital cloud solutions, particularly with rich STEM subjects’ content.
Pro-inflammatory and anti-inflammatory cytokines as candidate markers in the diagnosis and assessment of Crohn's disease activity
Authors: Słowińska-Solnica Krystyna , Pawlica-Gosiewska Dorota , Gawlik Katarzyna , Owczarek Danuta , Cibor Dorota , Solnica Bogdan , Malczewska-Malec Małgorzata 
Published: August 2022

IntroductionWe evaluated the diagnostic characteristics of interleukin (IL)-12, interferon (IFN)-γ, IL-10 and IL-19, in the diagnosis and assessment of Crohn’s disease (CD) activity.Material and methodsWe studied 49 CD patients assigned to the active (33 patients) and inactive (16 patients) disease subgroups and 31 healthy controls. Serum cytokines were measured using ELISA. Cytokine levels and their multiplication results were compared between the groups and their diagnostic characteristics in were assessed.ResultsThe levels of the studied cytokines except IL-10 and their multiplication results were significantly higher in CD patients than in controls (P <0.0001-0.007) and in patients with active than inactive disease (P <0.0001-0.023). In the diagnosis of CD, the [CRP]x[IL-19] and [IL-6]x[IFN-γ] results had a specificity of 0.96, positive predictive value (PPV) 0.97 and positive likelihood ratio (LR+) 15,0 and 15.5, respectively, while serum IL-19 and the [IL-6]x[IL-12] and IFN-γ]x[IL-12] results had a sensitivity of 0.9-0.96, negative PV (NPV) 0.75-0.86 and negative LR (LR-) 0.09-0.18. The area under the ROC curve (AUC) for these markers was 0.776-0.807. In the diagnosis of active CD, the [CRP]x[IL-10] and [CRP]x[IL-19] results had a specificity of 0.98, PPV 0.96, LR+ 33.4 and 30.5, and AUC 0.896 and 0.895, respectively. Serum IFN-γ and the [CRP]x[IFN-γ], [CRP]x[IL-12] and [IFN-γ]x[IL-19] results had diagnostic sensitivity of 0.77-0.94, NPV 0.86-0.93, LR- 0.11-0.24 and AUC 0.781-0.904.ConclusionsSerum IFN-γ, IL-19 and some of the results of the studied cytokine levels multiplication showed promising diagnostic performance in the diagnosis of CD and its active form, which requires further validation.
DEPRESSÃO EM ESTUDANTES DE MEDICINA EM TEMPOS DE COVID-19
Authors: Costa Alanna Miranda , Bezerra Brena Lopes , Denardin Caique Jason , Santos Lorena Marques , Melo Rhaissa Vasconcelos , Pereira Vandbergue Santos 
Published: August 2022

A Covid-19, identificada primeiramente na cidade de Wuhan na China, foi declarada emergência de saúde em meados do mês de março de 2020. Assim, a pandemia trouxe mudanças drásticas a nível mundial, sendo uma das consequências danos psicológicos, em especial o aumento do nível de depressão. Este estudo foi realizado através de revisão de literatura integrativa em determinadas bases de dados como LILACS, MEDLINE e Index Psicologia Periódicos, abrangendo o intervalo de tempo dos últimos cinco anos, entre 2017 e 2022, tendo como objetivo a análise da depressão em universitários de medicina durante o período da devastadora pandemia da Covid-19 bem como o impacto que este período acarretou nesses estudantes de forma geral, como adaptação aos meios de estudo e continuidade desses estudos durante o período de isolamento. Estudantes de medicina seguem uma carga horária exaustiva e com a instalação do período pandêmico diversas consequências foram sofridas pelos estudantes, como dificuldade de concentração, ansiedade e depressão e insônia e sofrimento mental. Sugere-se então a melhoria da rede de apoio da saúde mental aos universitários para que esses estudantes possam continuar seus estudos de maneira adequada, bem como que tenham suporte de mentorias para o enfrentamento de possíveis pandemias futuramente. Ademais, é de muita importância que no decorrer dos anos futuros se tenham mais estudos que abordam a temática em foco.
Vestígios de outro porvir: possíveis desdobramentos acerca do esquecimento do Ser e de um regime ontológico ameríndio
Authors: Aldeci Ana Carolina Matias Costa 
Published: August 2022

O propósito deste artigo foi analisar as relações estabelecidas entre o projeto heideggeriano e o entendimento ameríndio, acerca da constituição ou destituição de uma ontologia fundamental. Isso porque as críticas e reviravoltas promovidas por essas duas propostas parecem se entrelaçar em muitos aspectos. Para compreender os encaminhamentos oferecidos por cada uma delas, bem como alguns dos seus possíveis desdobramentos ecológicos, sócio-políticos e epistemológicos, foram aqui apresentados e investigados, respectivamente, de maneira introdutória: (1) o problema do esquecimento do Ser, a questão sobre o Ser do mundo e o problema da técnica moderna, assinalados por Martín Heidegger; e (2) o regime ontológico ameríndio — perspectivista e multinaturalista — teorizado por Tânia Stolze Lima e Eduardo Viveiros de Castro.
Turbulence in a coastal environment: the case of Vindeby
Authors: Putri Rieska Mawarni , Cheynet Etienne , Obhrai Charlotte , Jakobsen Jasna Bogunovic 
Published: August 2022

Abstract. The one-point and two-point power spectral densities of the wind velocity fluctuations are studied using the observations from an offshore mast at Vindeby Offshore Wind Farm, for a wide range of thermal stratifications of the atmosphere. A comparison with estimates from the FINO1 platform (North Sea) is made to identify shared spectral characteristics of turbulence between different offshore sites. The sonic anemometer measurement data at 6, 18, and 45 m a.m.s.l. (above mean sea level) are considered. These heights are lower than at the FINO1 platform, where the measurements were collected at heights between 40 and 80 m. Although the sonic anemometers are affected by transducer-flow distortion, the spectra of the along-wind velocity component are consistent with those from FINO1 when surface-layer scaling is used, for near-neutral and moderately diabatic conditions. The co-coherence of the along-wind component, estimated for vertical separations under near-neutral conditions, matches remarkably well with the results from the dataset at the FINO1 platform. These findings mark an important step toward more comprehensive coherence models for wind load calculation. The turbulence characteristics estimated from the present dataset are valuable for better understanding the structure of turbulence in the marine atmospheric boundary layer and are relevant for load estimations of offshore wind turbines. Yet, the datasets recorded at Vindeby and FINO1 cover only the lower part of the rotor of state-of-the-art offshore wind turbines. Further improvements in the characterisation of atmospheric turbulence for wind turbine design will require measurements at heights above 100 m a.m.s.l.
Exploration of Existential Issues: A Qualitative Study of Breast Cancer Women
Authors: Kanwal Farah , Fahd Samar , Malik Allah Yar 
Published: August 2022

The existing phenomenological study explored the existential issues of Pakistani breast cancer women. Moderately interviews were conducted to obtain information, which were digitally recorded and transcribed. Purposive sampling technique was employed to obtain a sample. Ten breast cancer-diagnosed women were included in this research. The qualitative information was investigated using Interpretative Phenomenological Analysis. Personal Cluster and Social Cluster evolved from the statements of existential issues by breast cancer women. The clusters were further sorted into the following categories: Existential Anxiety, Death Anxiety, Meaninglessness, Hopelessness, Loneliness, Body Image Discomfort, Guilt, Loss of autonomy, Lowered Self-Esteem, Pessimistic, Abashment, Peace of Mind, Dissatisfaction, Personal Loss of Control, Mobility Loss, Personal Responsibility, Loss of Personal Identity, Loss of Personal Relationships, Demoralization, Shame, Disappointment, Loss of Female Identity, Helplessness, Dependency, Loss Freedom of Choice, Powerlessness, Rejection, Social isolation, Burden to Others, Loss of Dignity, Integrity Loss, Loss of Outdoor Mobility, Social Responsibility, Loss of Social Identity, Loss of Group Identity, Loss of Family Identity, Loss of Professional Identity, Loss of Social Relationships, Futility, Alienation, Ignorance. The findings have significance for clinical psychologists, counselors, and therapists who work in primary and secondary health care settings.
Aesthetic outcome of different subunits of face with various modalities of reconstruction in facial basal cell carcinoma
Authors: Vijay Kumar N , Pradeep Raj S , Kakola Mohan G , Bhadbhade Shweta P 
Published: August 2022

Background: The incidence of basal cell carcinoma(bcc) involving face is on rise. One of the most promising therapies to this tumour is excision, which leaves a defect that has to be reconstructed in a way that would bring the best possible aesthetic and functional outcome. Aesthetically face is classified into many subunits, each contributing cumulatively to the final appearance of face. Reconstructing these subunits after the excision of bcc to impart a near normal appearance is a very challenging task. The outcome depends on various aspects like the skin type, photodamage , the subunit involved and the type of reconstruction . Aim: This study aims to assess the effect of skin type , photodamage, the site of bcc and the type of reconstruction on the aesthetic outcome through modified Vancouver scar scale scoring system. Material and methods : A prospective study was conducted on 53 patients with facial basal cell carcinoma from February 2020 to February 2022. Patients were classified into Fitzpatrick types . Photodamages were assessed. Keloidal tendencies were ruled out.