bluuebunny/crossref_metadata_2025_split huggingface dataset:
Maktabgacha ta'lim muassasalarida hamshiralik ishini tashkil etish va takomillashtirishda hamshira bo’lishining afzal tomonlari
Authors: G’aniyeva Zuhra , Mamasolieva Shoxista 
Published: April 2022

Bugungu kunda dunyo bo‘ylab tibbiyot fanining rivojlanishi va tibbiy texnologiyalarning takomillashishi, aholiga tibbiy-profilaktika yordami ko‘rsatish shartlari va usullari bilan tibbiyot xodimlarining sog‘liqni saqlash tizimidagi faoliyatining o‘rni va ahamiyati tobora ortib bormoqda. Tibbiy xizmatlar va bo‘limlarning yaxshi muvofiqlashtirilgan ishini tashkillashtish bilim va mahoratga, faoliyat davomidagi professional munosabatga bog‘liqir. Bolalar bilan ishlashda tibbiyot xodimlarining yuqori professionalligi alohida ahamiyatga ega.
O‘rta tibbiyot xodimlari faoliyatida ham profilaktika chora tadbirlarni amalga oshirish eng dolzarb muammolarda biri hisoblanadi. Sog‘liqni saqlash tizimida olib borilayotgan islohatlarga bog‘liq holda, tibbiyot xodimlariga katta mas'uliyat yuklangan: ularning vakolatlari chegaralari nafaqat parvarish masalalarida, balki patologik holatlarni tashxislashda ham kengaymoqda. Bu maktabgacha ta'lim muassasalari sharoitida bolalarni profilaktik tekshirish jarayonida eng katta ahamiyatga ega. Bolalarni har tomonlama intellektual,axloqiy,estetik va jismoniy rivojlanishda ta’lim-tarbiya berish orqali bolalarni maktab ta’limiga tayyorlashda maktabgacha ta’lim muassasasining o’rni katta.Bolalarga tibbiy xizmat ko’rsatish davlat maktabgacha ta’lim muassasasining tibbiyot xodimlari va ushbu muassasaga belgilangan tartibda biriktirilgan hududiy sog’liqni saqlash organlarining tibbiyot xodimlari tomonidan amalga oshiriladi. Maktabgacha ta’lim muassasalarida hamshiralar faoliyatida yuqorida keltirilgan vazifalar yuzasidan kamchiliklar ko’zga tashlanmoqda.
İslamcılık-Muhafazakârlık İkileminde Erken Dönem Millî Görüş Hareketi
Authors: DÜZENLİ Kubilay 
Published: April 2022

Millî Görüş Hareketi, 1970’ler Türkiye’sinde İslami hassasiyet ve değer yargılarını önceleyerek siyaset yapma amacı güden bir siyasal-toplumsal harekettir. Hareket, Türk siyasal yaşamının son 50 senesine olan etkisi bağlamında belirli dönemlere ayrılarak incelenebilmektedir. Bu kapsamda 1969-1980 yılları Millî Görüş Hareketi’nin erken dönemi olarak nitelenmelidir.
Bu çalışmanın amacı söz konusu zaman diliminde Millî Görüş Hareketi partileri olan Millî Nizam Partisi (MNP) ve Millî Selamet Partisi (MSP)’nin siyasi-toplumsal kimlikleri hakkında kapsamlı bir değerlendirme yapmak ve İslamcılık-muhafazakârlık ikileminde bu iki partinin nerede konumlandırılabileceği sorusuna yanıt vermektir.
Bu amaç doğrultusunda öncelikle İslamcılık ve muhafazakârlık düşünceleri karşılaştırılmalı biçimde incelenmiş sonrasında 1970’ler Türkiye’sindeki siyasal gelişmeler Millî Görüş Hareketi bağlamında analiz edilmiştir. Son olarak ise MNP ve MSP’nin temel metinleri ile Necmettin Erbakan’ın konuşmalarından faydalanılarak erken dönem Millî Görüş Hareketi’nin siyasal kimliği hakkında bir değerlendirmede bulunmak amaçlanmıştır.
Rituximab for the Treatment of Primary Membranous Nephropathy
Authors: Islam Saadul , Janoudi Ghayath , Bryan Matthew , Perras Christine , Jabr Mohammed , Haines Alex , Assasi Nazila , Boucher Julie , Hafizi Deba , Lafleur Phil , Black Cody , Cornelissen Tessa , Ford Caitlyn 
Published: April 2022

Membranous nephropathy is an autoimmune disease and one of the most common causes of nephrotic syndrome in adults. The incidence of membranous nephropathy is 1.2 in 100,000 persons per year worldwide. Approximately 80% of patients with membranous nephropathy have a classification of primary (or idiopathic) membranous nephropathy. The treatment goal of patients with primary membranous nephropathy is to induce remission. Current treatment options include calcineurin inhibitors (cyclosporine and tacrolimus), cyclophosphamide, and rituximab.
Rituximab is not approved for the indication of primary membranous nephropathy in Canada. This review aimed to evaluate the evidence on the use of rituximab compared to cyclophosphamide, tacrolimus, and cyclosporine in adult patients with primary membranous nephropathy.
A systematic review of the efficacy and safety of rituximab versus cyclosporine, tacrolimus, or cyclophosphamide was conducted with 18 included randomized controlled trials. A network meta-analysis of 11 of the 18 included randomized controlled trials was uninformative due to the small number of studies, the heterogeneity in the studies, and unreliable point estimates and wide credible intervals obtained with the network meta-analysis.
Due to the uninformative nature of the network meta-analysis, a narrative analysis was conducted of the head-to-head trials of rituximab. Two randomized controlled trials showed no evidence of a difference between rituximab and cyclophosphamide, whereas rituximab resulted in a better response rate (complete remission and the composite outcome of partial or complete remission) at 24 months compared with cyclosporine. There were no head-to-head trials comparing rituximab with tacrolimus.
Given the small network of studies, the heterogeneity in the included studies, and the limited information provided by the network meta-analysis and the pairwise comparisons of the MENTOR and RI-CYCLO trials, CADTH was unable to conduct an informative economic evaluation. Further, in addition to the clinical evidence gaps, there were also issues identifying information to inform key parameters to address the policy question of interest to decision-makers. Given the limitations associated with the clinical evidence and absence of evidence to inform key model parameters, an economic evaluation would not be able to quantify all relevant incremental costs and effects of using rituximab over the currently used alternatives.
Evaluating seasonal sea-ice cover over the Southern Ocean at the Last Glacial Maximum
Authors: Green Ryan A. , Menviel Laurie , Meissner Katrin J. , Crosta Xavier , Chandan Deepak , Lohmann Gerrit , Peltier W. Richard , Shi Xiaoxu , Zhu Jiang 
Published: April 2022

Abstract. Southern hemispheric sea-ice impacts ocean circulation and the carbon exchange between the atmosphere and the ocean. Sea-ice is therefore one of the key processes in past and future climate change and variability. As climate models are the only tool available to project future climate change, it is important to assess their performance against observations for a range of different climate states. The Last Glacial Maximum (LGM, ∼21 000 years ago) represents an interesting target as it is a relatively well-documented period with climatic conditions very different from preindustrial conditions. Here, we analyze the LGM seasonal Southern Ocean sea-ice cover as simulated in numerical simulations as part of the Paleoclimate Modelling Intercomparison Project (PMIP) phases 3 and 4. We compare the model outputs to a recently updated compilation of LGM seasonal Southern Ocean sea-ice cover and summer sea surface temperature (SST) to assess the most likely LGM Southern Ocean state. Simulations and paleo-proxy records suggest a fairly well-constrained glacial winter sea-ice edge between 50.5 and 51∘ S. However, the spread in simulated glacial summer sea-ice is wide, ranging from almost ice-free conditions to a sea-ice edge reaching 53∘ S. Combining model outputs and proxy data, we estimate a likely LGM summer sea-ice edge between 61 and 62∘ S and a mean summer sea-ice extent of 14–15×106 km2, which is ∼20 %–30 % larger than previous estimates. These estimates point to a higher seasonality of southern hemispheric sea-ice during the LGM than today. We also analyze the main processes defining the summer sea-ice edge within each of the models. We find that summer sea-ice cover is mainly defined by thermodynamic effects in some models, while the sea-ice edge is defined by the position of Southern Ocean upwelling in others. For models included in both PMIP3 and PMIP4, this thermodynamic or dynamic control on sea-ice is consistent across both experiments. Finally, we find that the impact of changes in large-scale ocean circulation on summer sea-ice within a single model is smaller than the natural range of summer sea-ice cover across the models considered here. This indicates that care must be taken when using a single model to reconstruct past climate regimes.
Land–atmosphere interactions in sub-polar and alpine climates in the CORDEX Flagship Pilot Study Land Use and Climate Across Scales (LUCAS) models – Part 2: The role of changing vegetation
Authors: Mooney Priscilla A. , Rechid Diana , Davin Edouard L. , Katragkou Eleni , de Noblet-Ducoudré Natalie , Breil Marcus , Cardoso Rita M. , Daloz Anne Sophie , Hoffmann Peter , Lima Daniela C. A. , Meier Ronny , Soares Pedro M. M. , Sofiadis Giannis , Strada Susanna , Strandberg Gustav , Toelle Merja H. , Lund Marianne T. 
Published: April 2022

Abstract. Land cover in sub-polar and alpine regions of northern and eastern
Europe have already begun changing due to natural and anthropogenic changes
such as afforestation. This will impact the regional climate and hydrology
upon which societies in these regions are highly reliant. This study aims to
identify the impacts of afforestation/reforestation (hereafter
afforestation) on snow and the snow-albedo effect and highlight potential
improvements for future model development. The study uses an ensemble of
nine regional climate models for two different idealised experiments
covering a 30-year period; one experiment replaces most land cover in Europe
with forest, while the other experiment replaces all forested areas with
grass. The ensemble consists of nine regional climate models composed of
different combinations of five regional atmospheric models and six land
surface models. Results show that afforestation reduces the snow-albedo
sensitivity index and enhances snowmelt. While the direction of change is
robustly modelled, there is still uncertainty in the magnitude of change.
The greatest differences between models emerge in the snowmelt season. One
regional climate model uses different land surface models which shows
consistent changes between the three simulations during the accumulation
period but differs in the snowmelt season. Together these results point to
the need for further model development in representing both grass–snow and
forest–snow interactions during the snowmelt season. Pathways to
accomplishing this include (1) a more sophisticated representation of forest
structure, (2) kilometre-scale simulations, and (3) more observational studies
on vegetation–snow interactions in northern Europe.
Quantifying climate model representation of the wintertime Euro-Atlantic circulation using geopotential-jet regimes
Authors: Dorrington Joshua , Strommen Kristian , Fabiano Federico 
Published: April 2022

Abstract. Even the most advanced climate models struggle to reproduce the observed wintertime circulation of the atmosphere over the North Atlantic and western Europe. During winter, the large-scale motions of this particularly challenging region are dominated by eddy-driven and highly non-linear flows, whose low-frequency variability is often studied from the perspective of regimes – a small number of qualitatively distinct atmospheric states. Poor representation of regimes associated with persistent atmospheric blocking events, or variations in jet latitude, degrades the ability of models to correctly simulate extreme events. In this paper we leverage a recently developed hybrid approach – which combines both jet and geopotential height data – to assess the representation of regimes in 8400 years of historical climate simulations drawn from the Coupled Model Intercomparison Project (CMIP) experiments, CMIP5, CMIP6, and HighResMIP. We show that these geopotential-jet regimes are particularly suited to the analysis of climate data, with considerable reductions in sampling variability compared to classical regime approaches. We find that CMIP6 has a considerably improved spatial regime structure, and a more trimodal eddy-driven jet, relative to CMIP5, but it still struggles with under-persistent regimes and too little European blocking when compared to reanalysis. Reduced regime persistence can be understood, at least in part, as a result of jets that are too fast and eddy feedbacks on the jet stream that are too weak – structural errors that do not noticeably improve in higher-resolution models.
Barreras y factores facilitadores para la accesibilidad a la interrupción legal del embarazo (ILE) en el subsistema privado y de la seguridad social de Argentina: análisis de la situación institucional en el Hospital Italiano de Buenos Aires
Authors: Volpi Mercedes , Volij Camila , Epstein Daniela , Musarella Nadia Silvina , Terrasa Sergio Adrian , Discacciati Vilda 
Published: April 2022

Hasta diciembre de 2020, en Argentina el aborto era legal ante determinadas causales. Sin embargo, era común que la implementación de esta legislación se viera entorpecida. El objetivo de esta investigación fue identificar las barreras y los factores facilitadores para la accesibilidad a la interrupción legal de embarazo en una institución del subsistema privado y de la seguridad social. Se realizó una investigación con enfoque cualitativo con entrevistas a profesionales del equipo de salud involucrados en el circuito de atención de interrupción legal de embarazo del Hospital Italiano de Buenos Aires. Los resultados se organizan en cinco ejes temáticos que surgieron luego de un proceso de lectura, interpretación y discusión: 1) ausencia de una política institucional explícita, 2) los componentes de la práctica (falta de registro en la historia clínica electrónica, desarrollo de circuitos paralelos para acceder a la medicación: misoprostol), 3) el marco jurídico legal y las causales (falta de leyes claras, diversas interpretaciones en lo que respecta al causal salud), 4) la objeción de conciencia y 5) los aspectos contextuales (movimiento feminista, el proyecto de ley desaprobado en el senado en 2018). A pesar de que el equipo de salud contaba con un marco legal claro, implementar una política institucional interna resulta sumamente necesario.
Early or Delayed Catheter Drainage for Cases of Infected Necrotizing Pancreatitis?
Authors: Tomar Sanjeevani , Forde Justin J. , Wadhwa Vaibhav , Sharma Neil R. 
Published: April 2022

International guidelines recommend delaying catheter drainage in cases of infected necrotizing pancreatitis until the affected tissue is encapsulated. However, there is no clear evidence that earlier catheter drainage would improve the outcomes of this potentially lethal condition.
We summarize the @GIJournal discussion held on March 6, 2022, during which we discussed the article by Boxhoorn et al. titled Immediate versus postponed intervention for infected necrotizing pancreatitis1. The session was moderated by Dr. Vaibhav Wadhwa (VW [@vaibhav_manu]) and the key findings were critically reviewed by Dr. Neil R. Sharma (NS [@neilRsharmaMD]).
Effect of Educational Program on Nurses Essential Care Practices of Newborn Baby
Authors: Kousar Razia , Afzal Muhammad , Parveen Kousar , Khan Sadia 
Published: April 2022

Background: Nurses essential care practices are important for the survival, growth, and development of a newborn baby. The care of newborn depends on the essential care practices of the nurses. In spite of its essentiality, most nurses in clinical settings have incompetent essential care practices regarding newborn baby. The essential care practices of newborn baby could be improved by implementing educational program. So, there is a dire need of educational intervention on essential care practices of newborn baby. Objective: 1.	To see the effect of educational program on nurses essential care practices of newborn baby. 2.	To find out association between sociodemographic characteristics and nurses essential care practices of newborn baby. Study Design: Quasi experimental study Materials and Methods: A Quasi experimental study included 48 registered nurses were selected by using simple random sampling technique. A twelve weeks educational intervention consists of PowerPoint lectures on nurses essential care practices, audio visual demonstration and hands on workshop practice sessions were given by the expert of this field to registered nurses on caring of newborn baby. Data on nurse’s practices were collected two times before and after the intervention via validated tools. Results: The study showed a significant (p<0.001) change in nurses essential care practices after educational intervention. Nearly, all nurses had incompetent practices before educational intervention. The practices had been competent as 45(93.8%) from 8(16.7%).There was statistically significant relationship between age and post practices while insignificant relationship was shown among total years of experience, experience in department and department name as well in post-test. Conclusion: The educational interventions significantly improve nurses essential care practices of newborn baby in both Tertiary care Hospitals of Bahawalpur. Keywords: Essential care practices, Educational intervention, Nurses, Newborn
A IMPORTÂNCIA DA VISITA DOMICILIAR PUERPERAL NA SAÚDE DA MÃE E DO RECÉM-NASCIDO: UMA REVISÃO INTEGRATIVA
Authors: Giovanna Labinas Paroni Carolina , Oliveira Nieblas Caroline de , Micena Silva Cunha da Costa Doris de , Cristina Pereira Maia Laura , Lopes Ferreira Leonardo , Mazotti Pimentel Matheus , Lara Macedo Milena de , Petarnella Piccolo Victorio 
Published: April 2022

Introdução: A visita domiciliar (VD) é uma maneira do profissional de saúde estabelecer um vínculo maior com o paciente e entender suas particularidades. No caso da visita domiciliar puerperal, ou seja, quando ela é realizada no período pós-parto (40 dias após o parto) garante um acesso individualizado à saúde da mãe e do recém-nascido. Se ocorrerem no período idealizado, indicam benefícios, como desenvolvimento da parentalidade, prática de amamentação, detecção e acompanhamento de depressão pós parto e reduz a mortalidade neonatal e materna. Objetivo: Descrever a importância da visita domiciliar no período pós parto para a saúde da mãe e do recém-nascido. Método: Trata-se de uma revisão integrativa que teve como fonte de dados publicações disponíveis nas bases BVS e PubMed. Foram selecionados 5 estudos publicados no período entre 2011 e 2021. Resultados: A partir da análise dos 5 artigos selecionados, foi destacada a importância da visita domiciliar puerperal nas primeiras 48 horas após o nascimento do bebê. Além de outros fatores, como as dificuldades enfrentadas pela equipe sendo eles, barreira geográfica, alta hospitalar pouco notificada e desconhecimento das mães sobre os cuidados pessoais e com o bebê. Conclusão: A VD puerperal é de extrema importância para a saúde do binômio mãe e bebê, tendo em mente os benefícios que foram previamente citados.
Evaluation of antimicrobial property of self etch adhesive incorporated with green synthesized tio2 nanoparticles
Authors: Shamly M. , Jayalakshmi M. D. S 
Published: April 2022

Since its introduction about fifty years ago, adhesive technology has advanced rapidly. In this current era,nanoparticles has gained attention in restorative dentistry because of its advantages like improving bond strength and stability of restoration.As opposed to the chemical process, the green synthesis of titanium oxide nanoparticles has more advantages one of which is improved antimicrobial activity. Antibacterial dental adhesives can help to prevent recurrent or secondary caries. The aim of this invitro study was to evaluate the antimicrobial property of self etch adhesives incorporated with Tio2 nanoparticles. The extracts of Piper longum herb was used to make titanium dioxide nanoparticles (TiO2NPs) in a green way.Its aim is to create a tight bond between tooth dentin and restorative material.Failures in this process could result in microleakage, allowing bacteria, fluids, and ions to infiltrate.The antimicrobial property of self etch adhesives incorporated with Tio2 nanoparticles were tested against standard strain of S.mutans, lactobacillus and E.faecalis using the Zone of inhibition test. The diameter of inhibition zones were measured in millimeters.
A review of economics, entrepreneurial behaviour, and marketing analysis of pomegranate growers
Authors: Shelake R. S. , Vhankade P. G. 
Published: April 2022

India has always been known in the world for its Rural Based Economy, as nearly 65% of its population is dependent on Agriculture &other rural businesses. According to the census of India, 2011, the population of India is more than 1.21 billion and out of it, 72.2% population belong to the rural area. So, the study of rural development is very much required in India. One of the oldest well-known fruits, found in writings and artifacts of many cultures and religions, the pomegranate (Punicagranatum) is an original native of Persia. Maharashtra is known as the Fruit mixing bowl of India. Pomegranate cultivation now is a very captivating and remunerative big business for farmers in India promising financial return from this crop has resulted in an increase in area and production of pomegranate. The present investigation focused on “A Review of Economics, Entrepreneurial Behaviour, and Marketing Analysis of Pomegranate Growers.” Therefore, in view of pomegranate as a very important crop and its increased utilization in industrial applications, it is traded in domestic and also international markets. This market has become more speculative, and therefore pomegranates were purposefully selected for the study.
Doubly marginalised
Authors: Kushwah Priyanka , Singh Hemendra , Khare Pranjal 
Published: April 2022

Climate change is destroying our lives through rise in sea level, climate related deaths, malnutrition, floods, cyclone, droughts, heat waves etc. The problem further worsens when we fail to understand that though climate change affects everyone but it affects more who are at vulnerable position, especially women. They suffer greater safety and health risks because they are the last to be rescued, their sanitation is being compromised. Women also do not fully participate in climate related planning and policy due to unequal participation in decision making process. Women commonly face higher risks and greater burdens from the impacts of climate change in situations of poverty and due to existing roles, responsibilities and cultural norms. This paper suggests that the women are first responders in crises, entrepreneurs of green energy and decision-makers at home, women offer valuable insights and solutions into better managing the climate and its risks. Hence, women can play a critical role in response to climate change due to their local knowledge of and leadership in sustainable resource management and/or leading sustainable practices at the household and community level.
Estimation the relationship between IL-17 and some biochemical parameters in patients with rheumatoid arthritis
Authors: Hassan Fatima Felaieh , Muttashar Athmar Dhahir , Ali Eman J. , Aziz Fatima K. , Abbas Salma Ismail 
Published: April 2022

Little information is available on the relationship between IL-17 with VD, ESR, MDA and GSH levels for patients with Rheumatoid Arthritis. This study aimed to determine the levels of IL-17, VD, ESR, MDA and GSH, also to determine the relationship between IL -17 with VD, ESR, MDA and GSH. The sample of this study consists of 30 patients and 30 apparently healthy individuals. The results showed that the levels of IL-17, MDA and ESR marked increase in patients group in compare with controls group (P≤0.05).While levels of VD and GSH shows marked decrease in patients group in comparison with the controls group (P≤0.05). It was found positive relationship between IL-17 and levels of MDA and ESR. Also it was found negative correlation between IL-17 and levels of the VD and GSH.