bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE PROGRAM OF MEDICAL AND PSYCHOLOGICAL SUPPORT OF THE PROCESS OF MEDICAL COLLEGE STUDENTS ADAPTATION TO WORK IN PRIMARY POSITIONS
Authors: Grishnyaeva O.V. 
Published: January 2022

Relevance. The current period of Ukraine development is characterized by a number of socially conditioned stressors, which result in a significant increase in the number of cases of short-term, and most often, long-term stress. In particular, the duration of verbal and non-verbal communication with patients, their relatives, junior nurses (nurses, paramedics, midwives) is longer than in doctors, thus the psychological stress, which is also associated with maintaining their physical health, is much greater. The consequence of this is professional exhaustion, development of psychosomatic pathology, change of place of work.
Objective of the work was to compile and propose a program of medical and psychological support for the process of medical college students adaptation to primary positions in treatment and prevention facilities.
Methods. Students of the Kharkiv Regional Medical College and the Dnipro Basic Medical College took part in the study. The experimental group consisted of students in the number of 100 people aged 17.5±1.5 years. The control group (n=45) consisted of individuals 16.5±2.5. The research was conducted without gender. To assess the tasks Author's questionnaires were used: "Means of adaptation of students to study in a medical university of I-III levels of accreditation", and individually - typological questionnaire LM Sobchik. The data validity test for the Individual Typological Questionnaire was conducted to determine the validity and reliability of the answers in the categories "False" and "Aggravation". Statistical methods were used: middle and outward correlation analysis according to the criteria of Spirman and Pirson, Student's criterion.
Results. The importance of medical and psychological support of the process of adaptation of junior medical specialists was studied, an original program was developed, which is an integrated structural procedural model of adaptation of medical college students to primary positions. After the introduction of the correctional program for working with students, the average level of student motivation increased by 17%, which was confirmed by the data of statistical analysis before and after the experiment. The results were also obtained: the average level of students' adaptive capabilities increased by 2 times.
Conclusions. The program introduced into the educational process will allow for a short period of time to adapt them to work in primary positions, form the need for continuous education and adherence to the principles of a healthy lifestyle. It will allow you to consolidate a positive coping strategy not only in a work environment, but also in everyday life.
A clinical study of risk factors and the management of surgical site infections in general surgical cases at tertiary care center: A two-year observational study
Authors: Arunkumar C , Chinnapan R. 
Published: January 2022

Background: Surgical site infections penetrate to depths in tissues and cause simple superficial infections to sepsis. The aim of this study is to identify the incidence rate of surgical site infections and their risk factors at the surgical section of a tertiary care center.
Material and Methods: This retrospective observational study included 245 patients. The CDC class-wise breakup of would infection and the risk factors were recorded.
Results: The Incidence of surgical site infections was 11.4%. <20year aged patients showed 0% incidence, and > 60-year aged patients showed 22.7% incidence. Malignancy observed as 31.3% incidence than without malignancy (10%) risk factor (p = 0.024). Among the origin, Lumbar sympathectomies and Breast surgery for malignancy showed the highest incidence (43.8%), followed by Genitourinary tract surgeries with 22.9%. Wound infection was more in an emergency (15.4%) than elective procedures (10.4%). The incidence rate increases from 7.9% (<1 hr) to 14.7% (1-2 hrs) regarding the duration of Surgery. The association of wound class with wound infection showed 13% (clean), 3.3% (clean-contaminated), 17.9% (contaminated) the incidence of the study. The antibiotics usage shows a strong association with wound infection (p=0.015). The most common bacteria isolated were Staphylococcus and Streptococcus, Escherichia and Klebsiella species (60% both), followed by Pseudomonas, Citrobacter, and others.
Conclusion: The factors which showed a strong association with wound infection were increasing age, surgical procedure, site of operation, presence of malignancy, urinary tract infection, lower respiratory tract infections, and exposure to antibiotics. Combination of clinical and microbiological means was the common mode of detection rather than individually.
Diaphragmatic Hernia with very late presentation after Penetrating Trauma: A case reports.
Authors: Skenduli Ilir , Caushi Fatmir , Mezini Arian , Gjati Laert 
Published: January 2022

Blunt traumatic rupture of the diaphragm is a serious injury that is often difficult to diagnose. [1]
Diaphragmatic injuries were described first by Sennertus in 1541. Riolfi performed the first successful repair in 1886.
In 1951, Carter published the first case series, was this injury well understood and delineated. [2]
Approximately 0.8%-1.6% of patients with blunt trauma show a rupture in the diaphragm. (3) Blunt trauma accounts for 75% of ruptures and penetrating trauma accounts for the rest. Approximately 69% of hernias are left-sided, 24% are right-sided, and 15% are bilateral. [3]
The occult diaphragmatic injury was uncovered in a patient who has blunt chest trauma, after penetrating trauma. Diaphragmatic injury can be a difficult diagnosis in the setting of trauma and a significant number of injuries are missed on the initial presentation.
We will be reporting a 56-year-old female who was admitted to our hospital with a history of cough, pain in the left chest as well as breathlessness of five days duration. She had a history of blunt trauma caused by an accidental gunshot in 1987…
Factors affecting in-hospital Mortality in Patients with Hip Fracture.
Authors: Popovska Danica , Hasani Ilir , Andonovski Alan , Dalipi Rezeart , Todorova Teodora , Gjorgjieska Kornelija , Karapandzevska Simona , Ushinov Kiril , Dalipi Teuta , Stojmenski Slavcho 
Published: January 2022

Background. The prevalence of hip fractures is steadily increasing, as the population ages. These fractures are associated with significant morbidity and mortality. Most of these fractures are treated surgically. Factors related to surgical intervention can play a significant role in the outcome.
This study examines the association of in-hospital mortality with the timing of surgery, sex, and age of patients treated surgically due to a hip fracture at Clinical Hospital Shtip in a 2-year long period.
Material and Methods. A total of 348 patients admitted with a diagnosis of hip fracture who were treated surgically were identified. Data about sex and age were collected. The outcome was assessed for groups treated within 24, 48, 72, and more than 72 hours after admission. Descriptive statistical methods, chi-square test, t-test for independent samples, and odds - ratio with 95% confidence interval (CI) were used in statistical analysis.
Results. The delay of surgical treatment beyond 24 hours did not increase the risk of death (OR=0.65, 95%CI=0.23-1.73). Delays beyond 48h and 72h increased the risk of death progressively (OR=1.17, 95%CI=0.50-2.75, and OR=1.65, 95%CI=0.69-3.95 respectively). Mortality was significantly higher in the 76-85-years age group.
Conclusions. Association between surgical delay and in-hospital mortality in hip fracture patients is disputed. Confounding factors such as age, sex, comorbidities, and type of treatment determine the outcome. Patients with hip fractures, without any additional disease, should be operated on as soon as possible after admission to the hospital. Delay beyond 48 hours may increase the risk for in-hospital mortality.
The new Era of non-Steroidal Mineralocorticoid Antagonists in Treating Heart Failure in Diabetic Kidney Disease Patients.
Authors: Hasani Eqerem , Rroji Merita , Barbullushi Myftar 
Published: January 2022

Inappropriate activation of the mineralocorticoid receptor (MR) plays a significant role in developing hypertension, the development of cardiac pathological changes, and chronic kidney disease (CKD), where death related to cardiovascular (CV) causes is the primary competing for the outcome to the progress to end-stage renal disease (ESRD) in patients with CKD.
Congestive heart failure (CHF) is a frequent comorbidity in patients with CKD. MR overactivation within the heart might cause coronary endothelial dysfunction, myocardial apoptosis, and reactive myocardial fibrosis and thus contribute to cardiac remodeling and its adverse consequences.
MR antagonists (MRAs) are evidence-based therapy in symptomatic patients with heart failure and reduced ejection fraction (HFrEF).
Finerenone, a novel, nonsteroidal, selective mineralocorticoid receptor antagonist (MRA) with anti-inflammatory and antifibrotic effects, is a promising tool in treating heart failure in patients with T2DM and CKD.
It is felt to have higher potency and less hyperkalemia than steroidal MRAs such as spironolactone and eplerenone. It is unclear and a matter of discussion if it could be first-line therapy in this group of patients.
Conclusion: Nonsteroidal MRAs are currently tested in clinical trials. Based on preclinical and first clinical data, these nonsteroidal MRAs might overcome the limitations of today's steroidal antagonists.
Understanding the Culture of 4-H
Authors: Norman Marilyn N. , Jordan Joy C. 
Published: January 2022

Revised! 4HS-FS101.1, is part of the 4-H 101 Fact Sheets series. It is a 2-page illustrated fact sheet by Marilyn N. Norman and Joy C. Jordan, describes what 4-H is, the colors, pledge, motto, slogan, name, and emblem. Published by the Florida 4-H Program, July 2009.
Knowing the Basics about 4-H Clubs
Authors: Norman Marilyn N. , Jordan Joy C. 
Published: January 2022

Revised! 4HS-FS101.6, a 4-page fact sheet by Marilyn N. Norman and Joy C. Jordan, is part of the 4-H 101 Fact Sheets series. It explains what a 4-H club is, who can join, criteria for 4-H youth development programming, types of 4-H clubs, starting and maintaining 4-H clubs, fiscal requirements, and evaluating club performance. Published by the UF 4-H Youth Development Program, July 2009.
Entendiendo la Cultura de 4-H
Authors: Norman Marilyn , Jordan Joy C. 
Published: January 2022

4HS-FS101.1-Spn, a 3-page illustrated fact sheet by Marilyn N. Norman and Joy C. Jordan, is part of the 4-H 101 Fact Sheets series. It is the Spanish language version of 4HS-FS101.1: Understanding 4-H Culture. It describes what 4-H is, the colors, pledge, motto, slogan, name, and emblem. Published by the Florida 4-H Program, July 2009.
Fingered Citron—A Fragrant Ornamental Fruit Crop for Florida
Authors: Qiu Yuheng , Dixon Mary , Denison Jonathan , Alferez Fernando , Liu Guodong 
Published: January 2022

The purpose of this new 4-page publication of the UF/IFAS Horticultural Sciences Department is to introduce fingered citron to county Extension faculty, students interested in crop production, growers, certified crop advisors, crop consultants, consumers, environmentalists, and policy makers in the agricultural sector for better production, consumption, and environmental sustainability. Written by Yuheng Qiu, Mary Dixon, Jonathan Denison, Fernando Alferez, and Guodong Liu.https://edis.ifas.ufl.edu/hs1427
Investigating the Impact of Oil Prices Changes on Financial Market Efficiency in Saudi Arabia for the Period (1980-2018): ARDL Approach
Authors: Alhakimi Saif Sallam , Sharaf-Addin Hussein Hussein Hamood 
Published: January 2022

The impact of macroeconomic variables on the financial market efficiency has been a hot topic for decades. Thus, this study investigates the effect of oil price changes on the financial market performance using the estimation of Auto-Regressive Distributed Lag (ARDL) technique in Saudi Arabia for the period 1980-2018. The results revealed a long-run causality between the exchange rate, return on investment, and oil prices towards the financial market efficiency. However, only inflation and return on investment have causality effects on financial market efficiency in the short run. In addition, the exchange rate and oil price do not have causality running to economic market efficiency. Thus, both the short-run and long-run causality effects should be considered as guidelines to be followed by policymakers to avoid any misleading macroeconomic strategies in future strategic planning. The speed of adjustment reported from estimating the Conditional Error Correction Regression is (-0.114527). Also, the model was found stable from using both the CUSUM and CUSUMQ statistics.
Pelatihan Penjualan Menggunakan E-Commerce Dalam Situasi Pandemi Covid-19 Di UMKM Kelurahan Sukajaya
Authors: Putri Andini Utari , Meiriasari Vhika , Hakim Faradillah 
Published: January 2022

Dengan adanya e-commerce sangat membantu dalam hal penjualan dan juga mempermudah transaksi pembelian terhadap penjual mengingat situasi yang tidak memungkinkan ini. Masyarakat juga harus cerdas dalam menggunakan teknologi informasi agar dapat bertahan atau bangkit dari kesulitan yang dihadapinya. Penjualan juga meningkat dengan adanya e-commerce dari beberapa aplikasi yang tersedia. Kegiatan pengabdian masyarakat ini bertujuan untuk memberikan pelatihan mengenai penjualan dengan menggunakan e-commerce guna dapat meningkatkan penjualan pada masa pandemi covid-19 seperti saat ini. Kegiatan ini ditujukan kepada para UMKM yang berada di wilayah Kelurahan Sukajaya maksimal 15 peserta. Akan tetapi yang bersedia untuk bergabung hanyalah 12 orang peserta selama kurun waktu 1 bulan lebih untuk diberikannya pelatihan lalu di evaluasi perkembangan dalam pelatihan yang telah diberikan sebanyak 2 kali kunjungan (31 Agustus-28 September 2021). Kunjungan berupa pemberian materi pelatihan yang berikan sebanyak 2 kali. Kendala utama yaitu keterbatasan pengetahuan peserta untuk beberapa peserta mengenai kegunaan e-commerce dan pengaplikasiannya. Hasil dari kegiatan ini setelah diberikan pelatihan mereka tertarik menggunakan e-commerce sebagai alat bantu mereka mempromosikan penjualan dan juga membantu mereka meningkatkan penjualan dengan cara menggunakan e-commerce dimana dalam Situasi Pandemi Covid-19 Di UMKM Wilayah Kelurahan Sukajaya, dimana peserta – peserta yang mengikuti kegiatan telah mampu melakukan penjualan mereka lebih baik lagi dengan menambah peforma berjualan offline dan online. Bahwa peserta sebanyak 12 orang tersebut yang memiliki UMKM di bidang makanan sudah mendaftarkan UMKM mereka ke Grab dan Gojek untuk dapat membantu penjualan mereka untuk mudah dijangkau. Dan ternyata penjualan meereka pun sedikit meningkat dengan menggunakan bantuan Grabfood dan Gofood.
Efektivitas Penggunaan Cuka Apel (Apple Cider Vinegar) Terhadap Daya Hambat Pertumbuhan Staphylococcus Aureus Yang Diisolasi Dari Ulkus Diabetes Mellitus
Authors: Novianty Alfiah , Agrijanti Agrijanti , Khusuma Ari 
Published: January 2022

Diabetic ulcers are a chronic complication of Diabetes Mellitus in the form of open sores on the surface of the skin. Staphylococcus aureus bacteria is one of the bacteria that causes infection in wounds. Staphylococcus aureus bacteria will flourish in areas that have infections. An increasingly severe infection will cause gangrene. As it is known that Apple vinegar contains chemicals that are as antibacterial. Therefore apple vinegar can be used as a treatment in inhibiting the growth of Staphylococcus aureus bacteria. This study used a quasi-experimental design with 6 treatments, namely Tetracycline Antibiotics as a negative control of growth, sterile aquadest as a positive control of growth and apple vinegar with concentrations of 100%, 50%, 25%, and 12.5%. Then performed a statistical test using Kruskal Wallis with a confidence level of 95% or α = 0.05. Result: Sample Diabetic Foot Ulcer positively contained Staphylococcus aureus. Test the sensitivity that is done by using vinegar apple effective to inhibit the growth of Staphylococcus aureus at concentrations of 50% with a power resistor of 21.75 mm and a concentration of 100% by 24 mm. Conclusion: Apple Cider Vinegar effective to inhibit the growth of Staphylococcus aureus was isolated from Ulcer Foot Diabetic.
Faktor Koreksi Nilai Laju Endap Darah (LED) Pada Penderita Tuberkulosis Menggunakan Metode Westergren dan Wintrobe
Authors: Dewi Rizki Amalia , Zaetun Siti , Jiwantoro Yudha Anggit 
Published: January 2022

Pemeriksaan LED bermanfaat untuk memantau perjalanan penyakit dan memantau keberhasilan terapi penyakit kronik misalnya arthritis rheumatoid dan tuberculosis. Metode pemeriksaan LED diantaranya metode westergren dan wintrobe, kedua metode ini merupakan cara manual. Tujuan penelitian pada penelitian ini untuk mengetahui faktor koreksi nilai laju endap darah pada penderita tuberkulosis menggunakan metode westergren dan wintrobe. Metode penelitian yang digunakan pada penelitian ini bersifat pre-eksperimen dengan 2 kelompok perlakuan LED yaitu diuji dengan metode westergren dan wintrobe. Hasil penelitian didapatkan jumlah hasil pemeriksaan LED metode westergren 622 mm/jam dengan rerata 38,875 mm/jam dan jumlah hasil pemeriksaan LED metode wintrobe 520 mm/jam dengan rerata 32,5 mm/jam. Rentang nilai metode westergren 12-115 mm/jam, rentang nilai metode wintrobe 18-47 mm/jam kemudian hasil pemeriksaan LED dari metode westergren dan wintrobe dikalikan dengan faktor koreksi kemudian hasil perkalian akan dimasukkan dalam rentang nilai masing-masing metode, metode yang hasil perhitungannya lebih banyak berada dalam rentang nilai adalah metode yang lebih baik untuk melakukan pemeriksaan LED. Uji normalitas dan homogenitas tidak berdistribusi normal dan tidak homogen, maka dilanjutkan dengan uji statistik Mann Whitney. Dari tabel hasil analisis Mann Whitney menunjukkan nilai p 0,895 > 0,05. Karena nilai p lebih besar dari α 0,05 maka dapat disimpulkan bahwa tidak terdapat perbedaan yang bermakna antara dua kelompok dengan begitu Ha ditolak. Kesimpulan dari penelitian ini metode westergren adalah metode yang paling baik digunakan untuk melakukan pemeriksaan LED dari pada metode wintrobe karena hasil pemeriksaan metode westergren yang telah dikalikan dengan faktor koreksi lebih banyak berada dalam rentang nilai yaitu 15 hasil perkalian (93,75%).
PENGARUH PENAMBAHAN BAHAN PANGAN LOKAL TERHADAP SIFAT ORGANOLEPTIK DAN KANDUNGAN SERAT SNACK BAR SEBAGAI ALTERNATIF JAJANAN TINGGI SERAT
Authors: Ningsih Marisa Wahyu , Darawati Made , Widiada I Gde Narda 
Published: January 2022

Background : Food snacks circulating in the community generally do not have guaranteed security and balanced nutritional content. So that the development of snacks is very important. One food product that is easily developed can be used as a snack or a daily snack that is a snack bar. The development of snack products in the form of snack bars can be made using local food ingredients. This snack bar formulation will then have a high enough fiber content so that it is expected to be an alternative snack food to reduce the incidence of Obesity. Objective : Knowing the effect of adding local food ingredients to the organoleptic properties and fiber content of snack bars as an alternative to high-fiber snacks. Method : This research is a literature study which summarizes some literature that is relevant to the research theme / topic. Literature is obtained through searches conducted on several internet pages. In this study, the type of data used is secondary data. The literature that was reviewed was first selected according to the inclusion and exclusion criteria. Results : Of the 11 journals reviewed 2 of them stated there was an effect of adding local food to the organoleptic nature of snack bars. And of the 11 journals reviewed 4 of them had a snack bar formulation with a relatively high fiber content. So that the recommended snack bar formulation research Pratama (2019 )as an alternative to high-fiber healthy snacks. Conclusion : Of the 11 journals reviewed 2 of them stated there was an effect of adding local food to the organoleptic nature and fiber content of snack bars.
ПЕРЕОСМИСЛЮЮЧИ ГЕНОЦИД: КОЛИ СУСІДИ ПОЧИНАЮТЬ НЕНАВИДІТИ
Authors: Gerasimov Ilya 
Published: January 2022

Ілля Герасимов вважає, що емпіричний матеріал, представлений у книжці Омера Бартова («Анатомія геноциду: життя і смерть міста, що називалось Бучач», Нью-Йорк, 2018), суперечить моделі, запропонованій автором. У галицькому містечку Бучач, де євреї, українці та поляки жили разом упродовж століть, місцеві жителі-християни взяли активну участь у Голокості, а потім і в українсько-польських етнічних чистках. Пояснення Бартовим масового знищення сусідів у роки Другої світової війни засноване на телеологічному баченні поступової ескалації давніх міжетнічних конфліктів до рівня відкритого насильства. Герасимов показує, що книга залишає без відповіді два ключові питання: як пояснити максимальну інтенсивність Голокосту в регіоні, який не мав передісторії насильства по відношенню до євреїв (якщо саме «сусіди» становили основну масу переслідувачів євреїв, як стверджує Бартов)? І чому «сусіди» настільки одностайно виступили проти місцевих євреїв (якщо, як показує книжка, Голокост був організований і координувався нацистами)? Спираючись на насичений опис Бартовом Голокосту в Бучачі, Герасимов пропонує власні відповіді на ці запитання. Він розглядає участь у геноциді давніх членів однієї соціальної мережі («сусідів») як типовий і навіть основоположний фактор, а не як скандальне відхилення.
Рушійною силою геноциду в цій моделі виявляється не вкорінена ненависть потужного націоналістичного руху до Іншого, а бажання приєднатися до спільноти «своїх», прагнення будь-якою ціною довести свою причетність до національного проєкту, що розсипається, у ситуації загрози національному суверенітету. В умовах війни і відсутності демократичних політичних інститутів через іноземну окупацію або диктаторський режим, коли обіцяна національна єдність підірвана громадянською війною і відсутністю самої спільної мови, здатної сформулювати і поширити критерії приналежності до єдиної нації, – це прагнення довести свою причетність через убивство «чужинця» в межах досяжності, тобто сусіда. Не давня традиція ксенофобської ворожнечі веде до геноциду, а нещодавнє і стрімко розвинене прагнення приєднатися до легітимної національної спільноти. Цим пояснюється центральна роль «сусідів» у здійсненні геноциду як спроби проведення нових кордонів політичного співтовариства «негативно» – через стигматизацію колишніх членів старого політичного простору, яких найпростіше оголосити «чужинцями» або «ворогами народу».