bluuebunny/crossref_metadata_2025_split huggingface dataset:
Catquest-9SF questionnaire shows greater visual functioning in bilateral cataract populations
Authors: Seth Ishith , Bulloch Gabriella , Thornell Erin , Lundström Mats , Agarwal Smita 
Published: October 2022

Purpose:
Visual functioning evaluated by the Catquest-9SF questionnaire has shown to be a valid measure for assessing a patient’s prioritization for cataract surgery. This study adapted Catquest-9SF for visual function outcomes post uni-lateral cataract surgery or bi-lateral cataract surgery.

Methods:
Visual functioning was assessed before and after uni-lateral or bi-lateral cataract surgery using the Catquest-9SF questionnaire. Patients were enrolled to this study prior to their cataract surgery between March 29 and April 30, 2021 at Shellharbour Hospital, Australia. Catquest-9SF questionnaires were completed prior to and 3 months post surgery. Resulting data were assessed for fit to a Rasch model using WINSTEPS software (version 4.2.0). Catquest-9SF data analysis of Chi-square, Wilcoxon sum test, and Fischer’s test were performed in R (version 4.1.0). P value <.05 was considered statistically significant.

Results:
Sixty-one patients (mean age = 73.2 years, 62% female) were included for analysis. Catquest-9SF response thresholds, adequate precision (person separation index = 2.58, person reliability = 0.87, Cronbach’s alpha = 0.74), uni-dimensionality, and no misfits (infit range 0.65–1.33; outfit range 0.64–1.31) were recorded. The mean of item calibration for patients was -0.22 post-operatively. There was significant (P <.05) improvement (16.3%) in visual functions across all nine Catquest 9-SF items. There was a significant mean visual function difference between patients with uni-lateral (10.1%) and bi-lateral cataract surgery (22.3%) pre-operatively and post-operatively.

Conclusion:
The Catquest-9SF questionnaire showed excellent psychometric properties and can assess visual functioning in an Australian population. There was a significant improvement in patient visual function post cataract surgery and higher functioning with bi-lateral cataract surgery.
Impact of Severe Acute Respiratory Syndrome-Coronavirus-2 Pandemic on Postgraduate Medical Education in Armed Forces Medical Services Institutions
Authors: Nair Nithya , Khan Mansur Ali , Jha Vijoy Kumar , Mahapatra Debasish 
Published: October 2022

Introduction:
The Severe acute respiratory syndrome coronavirus 2 pandemic situation brings us the opportunity to test the strength and limitations of our health delivery system. Residents being the backbone of quality-health-delivery of any institute have taken the brunt.

Materials and Methods:
A cross-sectional self-administered questionnaire-based survey was used to assess the effect on medical training and stress of postgraduate residents in clinical specialties of armed forces institutions.

Results:
266 valid responses were analyzed. Eighty-seven percent of residents felt their surgical/procedure-related training was affected. Bedside/clinical training was found to be affected by 92% and theoretical learning by 78%. A significant difference was found between residents in medical and allied specialties and residents in surgery and allied specialties (81% vs. 96.3%) with regard to the negative effect of the COVID-19 pandemic on surgical/procedural skills training (P < 0.05). There was a significant difference in the likelihood of being posted for COVID duties based on gender (P = 0.01) and year of the course (P = 0.004). Posting on COVID duties did not significantly affect surgical, clinical, or theoretical training. Of the respondents, 37%, 49%, and 14% had a mild, moderate, and severe increase in stress, respectively. 18%, 52%, and 30% experienced mild, moderate, and severe increased stress among family members. Gender, age, category, year of residency, or subject of specialization did not have any significant effect on the level of personal or family stress.

Conclusion:
This survey attempts to bring forth the effect of the pandemic on medical training schedules and stress among residents. Such surveys would enhance understanding and bring solutions to the problem that the pandemic has brought.
Effect of silymarin on liver size and nonalcoholic fatty liver disease in morbidly obese patients
Authors: Atarodi Hamed , Pazouki Abdolreza , Gholizadeh Barmak , Karami Reza , Kabir Ali , Sadri Ghazal , Kassir Radwan , Kermansaravi Mohammad 
Published: October 2022

Background:
A large liver size is a factor that may increase the difficulty of bariatric surgery (BS) and unwanted complications. Some agents have been used to decrease the liver size before BS. Silymarin has been used as an antioxidant agent to improve liver function tests. This study was designed to evaluate the effects of silymarin on liver dimensions, function, and lipid profile.

Materials and Methods:
A double-blind randomized clinical trial was performed on 56 patients. The patients were divided into silymarin and placebo groups. Blood samples and sonographic examinations were taken from the patients before and 4 weeks after the administration of the silymarin or placebo. In the first group, 140 mg silymarin was prescribed every 8 h for 4 weeks, and the other group received placebo in the same way with the same tablet shape. After the completion of the 4-week treatment, laboratory tests and ultrasonography were carried out again.

Results:
Thirty-nine (69.6%) patients were female with a mean body mass index (BMI) of 46.2 kg/m2 and a mean age of 36.8 years. Most of the patients had a compliance of 80% and higher. The analysis did not show any significant difference in aspartate transaminase, alkaline transaminase, liver size, cholesterol, and triglyceride changes among the silymarin and placebo groups. BMI loss was slightly higher in the silymarin group although the difference was not statistically significant.

Conclusion:
The present findings show that silymarin administration for 4 weeks does not affect liver size and function, but further evaluations should be carried out on the subject.
Poor Adherence to the Integrated Community Case Management of Newborn and Child Illness Protocol in Rural Ethiopia
Authors: Abtew Solomon , Negatou Mariamawit , Wondie Tamiru , Tadesse Yenealem , Alemayehu Wondwossen A. , Tsegaye Dawit A. , Mulaw Mitswat , Muluneh Dagne , Collison Deborah , Mdluli Eden Ahmed , Mekuria Legese A. 
Published: October 2022

ABSTRACT.
Ethiopia has adopted the Integrated Community Case Management of Newborn and Child Illness (iCMNCI) strategy to expand access to neonatal and child health services. This study assessed compliance with the iCMNCI case management protocol at the primary care settings. A descriptive cross-sectional assessment was conducted in eight districts of Benishangul-Gumuz Region from April to December 2019, and 1,217 sick children aged 2 to 59 months and 43 sick young infants aged 0 to 2 months who sought clinical consultation at the 236 health posts were selected purposively. Trained supervisors reviewed the medical records of two most recent cases from each illness category to quantify the extent to which health workers correctly assessed, classified, treated, and followed up cases per the iCMNCI guidelines. A total of 32,981 children sought clinical consultation of whom 31,830 (96.5%) were aged 2 to 59 months, and 1,151 (3.5%) were young infants aged 0 to 2 months. Of the 1,217 selected children, 426 (35%) had pneumonia, 287 (23.6%) malaria, 501 (41.2%) diarrhea, and 3 (0.2%) had malnutrition. Nearly two-thirds 306 (72%) of pneumonia cases were correctly classified as having had the disease and 297 (70%) were correctly treated for pneumonia; 213 (74%) were correctly classified as having had malaria and 210 (73%) were correctly treated for malaria; and 393 (78%) were correctly classified as having had diarrhea and 297 (59%) were correctly treated for diarrhea. Generally, the current practices of child illness assessment, classification, and treatment have deviated from iCMNCI guidelines. Future interventions should support frontline health workers to comply strictly with case management protocols through training, mentorship, and supervision.
Understanding Factors Influencing Polio Vaccine Uptake in Ghana—Developing Meaningful Community Mobilization and Engagement Strategies in Collaboration with Religious Leaders
Authors: Lohiniva Anna-Leena , Nurzhynska Anastasiya , Alhassan Hudi , Shetye Mrunal , Ayiku Paul 
Published: October 2022

ABSTRACT.
This qualitative study explores how religious leaders in Ghana view polio and polio vaccine–related knowledge and perceptions of the community members. It also examines the personal characteristics of those who are most likely to accept or reject the vaccine. On the basis of the findings, this study provides a set of evidence-based recommendations to support religious leaders’ efforts to create polio vaccine demand in their communities. The study is based on focus group discussions conducted with religious leaders from various geographic locations across Ghana. The discussions were transcribed verbatim and analyzed thematically. Twenty religious leaders, including Christian, Muslim, and leaders of traditional African religions, participated in the study. The findings show that both religious leaders and community members lack knowledge and have multiple culturally and religiously influenced explanations for polio. In addition, the findings reveal that vaccine safety and efficacy are linked to emotional narratives, and receiving the polio vaccine is not a social norm in all communities. Educated mothers in urban settings were identified as those most receptive to the polio vaccine. To create polio vaccine demand, religious leaders need to combat misinformation and the negative perceptions about the vaccine. Recommendations include conveying high-quality information to community members, developing tactics to address culturally and religiously sensitive matters, using emotionally inspired personal accounts to enhance positive attitudes toward polio vaccines and act as catalysts for positive social norms towards the polio vaccine. Educated mothers from urban areas can be engaged as champions in vaccine demand creation.
Teacher Educator Reflections on Preparing First Year Pre-Service Teachers for School-Based Work Integrated Learning in An Online Learning Environment
Authors: Mpu Yolanda Nondumiso , Hackmack Karin , Roy Irene 
Published: October 2022

Due to the COVID 19 pandemic in 2020 and 2021, higher education institutions were forced to embark on online teaching and learning. This came at a point where the entire teacher fraternity was not prepared for this shift from traditional face-to-face interaction to virtual learning. This qualitative, exploratory study was undertaken as a comparative analysis of the teaching, learning and facilitation experiences of three Teacher Educators. The focus was on teacher educators who engaged in a formal online teacher training program with first year pre-service teachers enrolled on the Bachelor of Education qualification. Data was collected from the Teacher Educators in the form of interviews and reflective reports prepared at the conclusion of the 2021 academic year. The data was thematically analysed to distil common lessons, challenges and points for the 3 Teacher Educators with the intention of learning from and improving on practice. The paper addressed three research questions which guided the study and presents the researchers findings in the areas of student access to the learning platform; knowledge transfer from online lectures to practical application in the form of portfolio of evidence and the alignment between theory and practice. Recommendations include using a hybrid approach to preservice teacher preparation; using formative and summative assessment in making a judgement on competence and mastery and re-focussing student feedback as reflective essays.
KORELASI PEMBELAJARAN DARING TERHADAP PEMAHAMAN KONSEP REAKSI REDOKS
Authors: Apsari Nurul 
Published: October 2022

Abstract: The research objective was to identify correlations of online learning and understanding of the concept of redox reactions. This type of research is quantitative research. The research subjects were 60 students of class X SMAN 1 Nanga Pinoh. The research instrument was a description test to determine the understanding of the concept of redox reactions and a questionnaire sheet to determine the effectiveness of online learning. The data analysis technique uses the Pearson product moment correlation. The results of the analysis showed that rcount = 0.86 9 rtable = 0.254 (5%) and 0.330 (1%). The significance value is 0.001 and the coefficient of determination is 0.96 (96%). Based on the results of the analysis, it is concluded that there is a positive correlation between online learning and understanding the concept of redox reactions. The more effective online learning is, the better your understanding of the redox reaction concept will be.Keywords: Correlation, Online Learning, Redox Reactions Abstrak : Tujuan penelitian adalah mengindentifikasi korelasi pembelajaran daring dan pemahaman konsep reaksi redoks. Jenis penelitian adalah penelitian kuantitatif. Subjek penelitian yaitu siswa kelas X SMAN 1 Nanga Pinoh sebanyak 60 orang. Instrumen penelitian yaitu tes uraian untuk mengetahui pemahaman konsep terhadap reaksi redoks dan lembar angket digunakan untuk mengetahui keefektifan pembelajaran daring. Teknik analisis data menggunakan pearson product moment corellatio. Hasil analisis diperoleh bahwa rhitung = 0,869 rtabel = 0,254 (5%) dan 0,330 (1%). Nilai signifikansi 0,001 dan nilai koefisien determinasi 0,96 (96%). Berdasarkan hasil analisis disimpulkan bahwa terdapat korelasi positif antara pembelajaran daring dengan pemahaman konsep reaksi redoks. Semakin efektif pembelajaran daring maka pemahaman konsep reaksi redoks juga akan semakin baik.Kata Kunci : Korelasi, Pembelajaran daring, Reaksi Redoks
DAMPAK COVID-19 TERHADAP KREATIVITAS GURU DALAM PEMBELAJARAN LURING DI PAUD ISLAMIC CENTER AL-HAZZA SEKAYAM
Authors: Sukristin Sukristin 
Published: October 2022

Abstrak: Tujuan penelitian ini adalah untuk mengetahui Kreativitas Guru dalam Pembelajaran Luring di PAUD Islamic Center Al-Hazza’ Sekayam.Penelitian ini menggunakan metode penelitian kualitatif dengan pendekatan studi kasus yaitu berawal dari data dan bermuara pada kesimpulan. Analisis data mengunakan reduksi data, display data dan verifikasi data. Berdasarkan hasil penelitian menunjukan bahwa guru-guru PAUD Islamic Center Al-Hazza’Sekayam cukup Kreatif dalam menerapkan sistem pembelajaran Luring. Hal tersebut dapat dilihat bahwa guru-guru menggunakan media gambar, LKS, kartu huruf dan HP dalam pembelajaran. Sumber media yang digunakan dari internet,buku paket, sesama guru dan lingkungan Sekitar. Sistem pembelajaran luring dianggap lebih efektif bagi anak usia dini karena ada pertemuan tatap muka tiga kali dalam sepekan.Berdasarkan hasil penelitian ini, peneliti menyimpulkan bahwa guru PAUD Islamic Center cukup kreatif dalam membuat media, memilih sumber media, dan menerapakan pembelajaran serta berpegang pada kompetensi guru. Kata kunci: Covid-19, Kreativitas guru, Pembelajaran Luring. Abstract: the purpose of this research is to find out the teacher’s creativity in Luring learning in Islamic Centre Early childhood school Al-Hazza’ Sekayam. The method of this research is qualitative learning used case study approach, that is beginning from the data and ending in the conclusion. The data analysis used data reduction, data display, and data verifying. Based on the result shows that the teachers in the early childhood school Islamic Centre Al-Hazza’ sekayam is creative enough in applying Luring learning system. It can be seen by the using of learning media (picture), student work sheet, alphabet card, and handphone in the learning. The media sources were internet, book, other teachers and circumstance. Luring learning system is more effective for the early childhood student because there were three meetings in a week. Based on the result of this research, the researcher concludes that the teachers in the Islamic Centre early childhood school are creative enough in making media, choosing the media source, and applying learning media, that based on the teacher competence. Keywords: Covid-19, teacher creativity, Luring Learning.
Optimalisasi Perawatan Sistem Auxiliary Boiler Dalam Menghasilkan Uap Panas
Authors: Santosa Prasetya Sigit , Astriawati Ningrum , Salim Salim , Prasojo Imanuel Agung 
Published: October 2022

Auxiliary boilers that have the function of producing hot steam are auxiliary steam boilers. The function of this steam is to heat the fresh water jacket cooling and fuel, drive the turbine pump, heat the liquid in the tank and room. This study aims to optimize the maintenance of auxiliary boiler systems, especially in the auxiliary steam boilers. This research was conducted in the engine room on the MT ship. This research is a qualitative descriptive study with data collection obtained from observation, interviews and documentation. The result of this study is the implementation of maintenance of auxiliary boiler components including: Boiler water; main burner; pilot burner; blower; and pumps. Overall, the average before optimizing maintenance, the effectiveness of the implementation of the planning maintenance system in auxiliary boilers was around 58.86%, and the average increased by 27.57% so that the average after optimization of maintenance with the guidelines for planning system maintenance became 86.43%. Auxiliary boiler system maintenance steam boiler In MT Tender Harmony can run optimally so that it can produce quality steam so that it can heat the fuel optimally.
DAHİLİ VE CERRAHİ KLİNİKLERDE YATAN HASTALARIN HEMŞİRELİK BAKIM ALGILARI
Authors: AKIŞIK Zehra , ATAY Selma 
Published: October 2022

Amaç: Bu araştırma, Dahili ve Cerrahi kliniklerinde yatan hastaların hemşirelik bakım algılarını incelemek amacıyla kesitsel olarak yapılmıştır.
Yöntem: Araştırma Türkiye’nin batısında bir kamu hastanesinde Ekim 2018 – Şubat 2019 tarihleri arasında gerçekleştirilmiştir. Araştırmanın örneklemini dahili ve cerrahi kliniklerinde yatan 18 yaş üzeri araştırmaya katılmayı kabul eden 351 hasta oluşturmuştur. Veriler hastaların sosyo-demografik özelliklerini içeren hastalara ait tanıtıcı bilgi formu ve Hastanın Hemşirelik Bakımını Algılayışı Ölçeği kullanılarak toplanmıştır. Verilerin değerlendirilmesinde bağımsız örneklem t testi, tek yönlü varyans analizi, Mann-Whitney U testi ve Kruskal Wallis testleri kullanılmıştır.
Bulgular: Hastaların, hastanın hemşirelik bakımını algılayışı ölçeğinden aldığı puan ortalaması 64.67±8.68 olarak bulunmuştur. Hastaların verdikleri cevaplara göre Hemşirelik Bakımını Algılayışı Ölçeği madde puan ortalaması en yüksek “Hemşireler hastanede beni rahat ettirdiler”, ile “Hemşirelerin sayesinde iyi bakıldığımı hissettim” maddeleri olduğu saptanmıştır. “Hemşireler çoğu şeyi bana sorarak yaptılar” ve “Hemşireler hastaneyle ilgili bilmediğim şeyler hakkında bana bilgi verdiler” maddelerinin puan ortalaması en düşük bulunmuştur. Hastaların yaşı ve eğitim durumları ile ölçek puan ortalamaları arasındaki fark istatistiksel olarak anlamlı bulunmuştur (p
Kết quả phẫu thuật sửa toàn bộ kệnh nhĩ thất toàn phần tại Bệnh viện Tim Hà Nội
Authors: Hien Nguyen Sinh , Phong Nguyen Huu , Vinh Dao Quang , Hung Nguyen Dang , Huy Dinh Xuan , Ngoc Nguyen Minh , Trong Do Duc 
Published: October 2022

Background: complete atrioventricular canal defect is a complex congenital heart disease. The current trend is to perform early complete repair to avoid the progression of pulmonary vascular disease and congestive heart failure. We sought to describe characteristics and evaluate outcomes of definitive repair of complete atrioventricular canal defect at Hanoi Heart Hospital from 2017 to 2020.[1]
Methods: a retrospective descriptive study of 62 patients who underwent definitive repair of complete atrioventricular canal defect at Hanoi Heart Hospital from January 2017 to December 2020. Data processing using SPSS 22 software.
Results: mean age at the time of surgery was 17.56 ± 30.85 months, 59.7% had Down phenotype. The type of surgical repair was single-patch technique (32.2%), modified single-patch technique (6.5%), and two-patch technique (61.3%) The most common postoperative complication is pneumonia (40.32%) and other complications include: pericardial effusion or pleural effusion (14.52%), third-degree AV block (9.67%), acute renal failure (6.45%). 3 cases (4.8%) required early reoperations, operative mortality was 1.6%. The overall estimated survival was 96,8% at 1 and 5 years.
Conclusion: definitive repair of complete atrioventricular canal defect at Hanoi Heart Hospital has good early and medium-term results.
Evaluate health-related quality of life of patients following minimally invasive open-heart surgery with endoscopoic support for mitral valve replacement at the cardiovascular centre of E hospital
Authors: Thanh Nguyen Minh , Thuy Nguyen Tran , Long Pham Van , Binh Nguyen The 
Published: October 2022

Objective: To evaluate the Health-related quality of life (HRQOL) of patients following minimally invasive open-heart surgery with endoscopic support for mitral valve replacement at the Cardiovascular Center of E Hospital.[1]
Subjects and methods: A cross-sectional descriptive study on 46 cases following minimally invasive open-heart surgery with endoscopic support for mitral valve replacement at Cardiovascular Center of Hospital E from 1/1/2021 to 31 /21/2021, using the SF-36 questionnaire.
Results: The mean score of 4 physical health domains including phýical functioning, functional limitations, bodily pain and general health were: 77,12; 70,38; 68,21, and 52.57. The average scores of the four mental health domains including including vitality, social functioning, role emotional and general mental health are: 79.24; 68.21; 88.7 and 75, respectively. Factors related to HRQOL of patients following minimally invasive open-heart surgery with endoscopically assisted mitral valve replacement are age, occupation, and economic status of the patient.
Conclusion: The total points of HRQOL in all areas were quite and quite good. Therefore, minimally invasive open-heart surgery with endoscopic support for mitral valve replacement is an indication for clear improvement in postoperative patients.
Blood-glucose control status in type 2 diabetes patients with high cardiovascular risk
Authors: Cuc Nguyen Thi Thu , Van Nguyen Khoa Dieu , Thuy Nguyen Tran 
Published: October 2022

The risk of cardiovascular injury and death in type 2 diabetes patients is 2 to 4 times higher than in the general population. Patients with type 2 diabetes at high cardiovascular risk were defined as having 10 years of diabetes without end-organ damage and/or any additional risk factors such as hypertension, dyslipidemia, smoking, or obesity.
Aims: To investigate blood-glucose control status and some related factors in patients with type 2 diabetes with high cardiovascular risk.
Methods: A cross-sectional, prospective study of 85 diabetes patients with high cardiovascular risk who visited the Outpatient Department, Bach Mai Hospital from November 2021 to August 2022.
Results: The average age is 55.9 years old, with 60.0% of the population being female. When follow-up began, the ratio of HbA1C < 7 was 51.8%; and the mean HbA1c was 7.79 ± 2.1% and the mean fasting plasma glucose was 8.78 ± 3.05 mmol/L. After the follow-up period, HbA1C < 7 was 50.8%, mean HbA1c was 7.21 ± 1.13%, and the rate of noncompliance with treatment was 20%.
High cardiovascular risk factors in patients with type 2 diabetes include: dyslipidemia (91.8%) and hypertension (44.7%), smoking (16.5%), obesity (24.7%), and family history of early cardiovascular disease (3.5%). 80% of patients had 1-2 concomitant cardiovascular risk factors.
Conclusion: Blood glucose control is associated to exercise regimen, medication compliance, number of hypoglycemic drug classes, and years of diabetes. The majority of patients with type 2 diabetes who are at high cardiovascular risk do not achieve multi-risk factor control goals, which is mainly correlated to medication compliance.