bluuebunny/crossref_metadata_2025_split huggingface dataset:
How Does It Feel to Have One's Psychiatric Diagnosis Altered? Exploring Lived Experiences of Diagnostic Shifts in Adult Mental Healthcare
Authors: O'Connor Cliodhna , Seery Christina , Young Claire 
Published: February 2022

BackgroundThough the socio-emotional significance of psychiatric diagnoses and the frequency of transitions between diagnostic classifications are widely acknowledged, minimal research reveals how “diagnostic shifts” are subjectively experienced by psychiatric service-users.AimThis study investigated how adult service-users make sense of diagnostic shifts and their impacts on one's life.MethodsTwenty-seven people with self-reported experiences of diagnostic shifts opted into this qualitative study. Virtual narrative interviews invited participants to share their “diagnosis stories.” Interview transcripts were analyzed using narrative thematic analysis to identify common and divergent experiences across participants.ResultsDiverse experiences of diagnostic shifts were related: diagnostic shifts could both promote and undermine clinical trust, therapeutic engagement and self-understanding. The analysis suggested that shared and divergent experiences could be attributed to two dimensions of narratives: participants'Interpretations of Diagnostic ShiftsandDiagnosis-Specific Factors. Regarding the former, analysis produced a typology of three possible interpretations of diagnostic shifts, which were linked with consistently different antecedents, experiences and consequences. The latter dimension captured how experiences of diagnostic shifts also hinged on the unique meanings ascribed to the specific diagnoses gained and lost, particularly in relation to their perceived severity, stigma, personal associations, and related communities.ConclusionsFindings revealed how diagnostic shifts can be experienced as both traumatic and life-enhancing, depending on their social and subjective context. Understanding the range and predictors of variable experiences of diagnostic shifts is vital for sensitive clinical practice and communication.
EFFECT OF TPS STRATEGY ON STUDENTS’ LISTENING SKILLS USING POLAROID SONG AT PERGURUAN BUDDHIS BODHICITTA JUNIOR HIGH SCHOOL
Authors: Hongko HONGKO 
Published: February 2022

The effect of TPS Strategy particularly in listening is very important in the study of English language because listening skills are often considered critical in building communication. It provides a new technique which can be applied in listening.
This research, however, is to find out whether TPS Strategy significantly affects students’ listening skills at PERGURUAN BUDDHIS BODHICITTA JUNIOR HIGH SCHOOL. The result shows that both pre-test and post-test were accumulated in to two different class groups namely, experimental (using TPS Strategy) and controlled group (not using TPS Strategy). The experimental group in pre-test has resulted 58.5 in average while the post-test has resulted 75.5 in average. On the other hand, the controlled group in the pre-test has resulted 52.8 in average whereas the post-test has resulted 62.2 in average. From the result, it was clear that the use of TPS Strategy (experimental group) gave significant effect on students listening skills.
Key Words: Effect, TPS Strategy, Listening Skills
Analysis of Code Mixing Used by Teacher
Authors: Manalu Agustinus 
Published: February 2022

ABSTRACT
This thesis was aimed to find the type of code mixing used by teacher during classroom interaction. The study used descriptive qualitative method. Each sentence from the teacher and students conversation was identified to determine its code mixing type according to Hoffman’s theory (1991). The data of the study is utterances which code mixing is included in it. The technique of the data collections used is documentary technique. It is found that there were three types of code mixing used during the class according to Hoffman theory namely : (1) intra-sentential, (2) intra-lexical, (3) involving change of pronunciation. From those types, intra-sentential was most frequently used by the teacher during the process of teaching and learning. The teacher`s reasons for applying code mixing were to overcome the communication barriers that occur between the teacher and the students to help the students understand and memorize the material more accessible. The result of the interview also showed that the students had a good perception of the implementation of code mixing used by the teacher in the classroom.
Keyword : code mixing, intra-sentential, classroom interaction, teacher
AN ANALYSIS STUDENT’S ABILITY IN WRITING PROCEDURE TEXT BY USING PICTURE SERIES AT SMP TELADAN MEDAN
Authors: LTP ELTP , Tarigan Sri Ninta , Ginting Lisnawaty br 
Published: February 2022

Abstract

This research purposed to know the students‟ ability in writing procedure text . The location of this research was in SMP Teladan Medan.The time that was spend in this research was two days. This research was applied by qualitative content analysis. The subject of the research was the students at grade EIGHTH GRADE OF SMP TELADAN MEDAN . Students consist of 26 students. The instruments that used in this research was a test of writing procedure text, interview. The test was asking the students to write the procedure text by using picture series well. Based on the result of the research, the students‟ ability in writing procedure text was low. From this research, there are two instruments in examining their ability including vocabulary,style,mechanism,grammar. It is hoped that by the finding of these trouble, there will be future research on this subject so that there will be some method or strategy that enable to overcome these troubles.
engl
Key words: ability, writing, procedure text, picture series
DEFINING FRIENDSHIP THROUGH THE FILM ALADDIN (2019)
Authors: Sinabutar2 Dwita Oktaviani , Tampubolon Three Debora E. , Yunus Lesly , Siregar Mariana , Rudy Rudy 
Published: February 2022

Abstract

As one of the important things in human life, friendship is an essential discussion because it is experienced by almost all people. Moreover, the portrait of friendship has been frequently shown in films. Therefore, this study aims to identify how friendship is depicted in the film Aladdin (2019) and to analyze the significance of friendship for people. It is expected that this study can contribute in the form of theory development in social and cultural studies and help people understand the value of friendship. The picture of friendship that appears in the film in the form of dialogs was used as the main data to be analyzed in this study. By applying representation theory as a semiotic approach, film dialogs were treated as symbols that could be interpreted. The result of analysis reveals that the representation of friendship in the Aladdin can be seen through the three main concepts – the sense of care, mutuality and solidarity which are considered significant in friendship. Furthermore, the result also reveals that everyone can interpret friendship based on their experience. This also affects the purpose of friendship.

Keywords: friendship, representation of friendship, care, mutuality, solidarity
ANALISIS TINDAK TUTUR DIREKTIF ANAK USIA 4-5 TAHUN PADA BAHASA DI TK HARAPAN BARU MEDAN
Authors: Girsang Jans Linson , Purba Christin Agustina 
Published: February 2022

Penilitian Mendeskripsikan bentuk tindak tutur di rektif yang digunakan anak 4-5 Tahun TAMAN Kanak kanak ( TK Harapan Baru Medan ) untuk mengetahui jenis tindak tutur direksi yang sering di gunakan anak usia 4-5 tahun Di Perguruan TK Harapan Baru 3 Medan. Penelitian ini menggunakan metode dengan desain penelitian Kualitatif dimana desaain penelitian ini menggunakan teknik pengmpulan data denga menggunakan metode observasi langsung dan wawancara di lapangan. Dengan populasi dalam penelitian ini adalah peser ta didik berusia 4-5 Tahun bentuk tindak tutur meminta secara langsung dan tidak langsung. Sedangkan bentuk mengizinkan secara lansung dan tidak langsung dan mengusulkan secara langsung Selain itu faktor - faktor intensitas munculnya ketiga tuturan tersebut lebih sering di bandingkan tindak tutur mengusulkan dan mengigizinkan dalam kehidupan. Hasil dari penelitian ini

Kata kunci : tindaktutur, bahasa anak
CHARACTER VALUE EXPLORE IN LASKAR PELANGI AS A STRENGTHENING OF STUDENTS’ CHARACTER BUILDING
Authors: Rumapea Resti , Tambunan Berlian , Pardosi Winda Yuliani 
Published: February 2022

Abstract

This study aims to determine the character values of students, examine whether the good characters in the Laskar Pelangi film can be applied in teaching and learning life, and apply moral values that can be used with qualitative descriptive methods. And reading which was used in collecting data, it was found that Laskar Pelangi is a film that teaches very good norms and moral values that can be expected for educational activities, especially teaching and learning. We hope that this research can make readers more motivated and make this research one of the teaching resources that can be applied in student character education.
Keywords: Character building, Film, Character value
Case of Surgical Treatment of Ectopic Pupil because of Traumatic Injury of Cornea with Prolapse of Iris
Authors: Каплич Л.Л. 
Published: February 2022

Цель. Продемонстрировать случай хирургического лечения эктопии зрачка в исходе проникающего ранения. Материалы. Пациент Л., 34 года, получил травму в детстве, в результате которой произошла эктопия зрачка, что привело к снижению зрения и косметическому дефекту. Результаты. Была проведена реконструкция зрачка. Спустя 2 месяца проведена лазерная дисцизия задней капсулы хрусталика. Устранили косметический дефект, повысились зрительные функции.
Purpose. The purpose of the work is demonstration of the case of surgical treatment ectopia of the pupil in the outcome of a penetrating injury. Materials. Patient L., 34 years old, suffered an injury in childhood, the outcome of which occurred ectopia of the pupil, which led to a decrease in vision and a cosmetic defect. Results. The pupil was reconstructed. After 2 months, a laser discission of the posterior capsule of the lens. Dropped out cosmetic defect, increased visual function.
Negative Symptoms and Problem Alcohol Drinking in People with Schizophrenia
Authors: Хмара Н.В. , Скугаревский О.А. 
Published: February 2022

Работа посвящена не достигающему критериев зависимого поведения потреблению алкоголя, влияющему на проявление негативных симптомов у лиц с шизофренией. Использованы психометрические инструменты оценки: шкала-скрининг ASSIST - для выявления употребления алкоголя и шкала PANSS - для формализованной оценки степени выраженности негативных симптомов. В исследовании приняли участие 123 пациента, проходивших стационарное лечение в Гомельской областной клинической психиатрической больнице с диагнозами «шизофрения» и «острые полиморфные психотические расстройства шизофренического спектра». В ходе исследования получены следующие данные: различный уровень выраженности потребления алкоголя (шкала ASSIST) находится в сопряженных отношениях с уровнем социальной дезадаптации, негативными симптомами. Группа с «низким риском» имела менее выраженные негативные симптомы за счет показателей: «уплощение аффекта», «эмоциональная отстраненность», «недостаточный раппорт», «стереотипность мышления». Группа с проблемным потреблением алкоголя в сравнении с контрольной группой не имела статистически значимых различий.
This article is devoted to those who do not reach the criteria of the dependent behavior of alcoholconsumption for manifestation of negative symptoms in persons with schizophrenia. The followingpsychometric assessment tools were used: the ASSIST screening scale for detecting alcohol consumptionand the PANSS scale for formalized assessment of the severity of negative symptoms. The study involved123 patients undergoing inpatient treatment at the Gomel Regional Clinical Psychiatric Hospitalwith diagnoses of schizophrenia and acute polymorphic psychotic disorders of the schizophrenicspectrum. The following data were obtained: different levels of alcohol consumption (ASSIST scale)are in connection with the level of social maladjustment, negative symptoms. The group with “lowrisk” had less pronounced negative symptoms due to the following indicators: “flattening of affect”,“emotional detachment”, “insufficient report”, “stereotyped thinking”. The group with problematic alcoholconsumption in comparison with the control group did not have statistically significant differences.
New Opportunities in Pharmacotherapy of Anxiety Disorders
Authors: Ассанович М.А. 
Published: February 2022

Тревожные расстройства относятся к распространенным психическим расстройствам. Генерализованное тревожное расстройство (ГТР) и социофобия оказывают выраженное негативное влияние на повседневное функционирование, существенно снижают качество жизни, требуют длительной терапии. Препаратами первого выбора в терапии ГТР и социофобии являются антидепрессанты СИОЗС и СИОЗСН, при необходимости бензодиазепиновые транквилизаторы. Однако эффективность антидепрессантов не превышает 75%, часто возникают побочные эффекты, бензодиазепины не подходят для длительного приема вследствие нежелательных эффектов. Новые возможности в фармакотерапии тревожных расстройств связаны сназначением новых препаратов. Перспективным препаратом является прегабалин. Анксиолитический механизм действия прегабалина основан на блокировании потенциал-зависимых кальциевых каналов, что приводит к ингибированию секреции тревожных нейротрансмиттеров. Прегабалин не действует на другие рецепторы, имеет линейную фармакокинетику, не имеет значимых лекарственных взаимодействий, хорошо переносится пациентами, позволяет регулировать дозировки в широком диапазоне, полностью подходит как для длительного приема, так и для купирования ситуационной тревоги. Начальная доза составляет 150 мг/сут. Рекомендуемая эффективная дозировка: 300-600 мг/сут 2-3 раза в день. Терапевтический эффект проявляется на первой неделе приема. Прегабалин может использоваться совместно с антидепрессантами СИОЗС и СИОЗСН либо в виде монотерапии как препарат первого выбора.
Anxiety disorders are common mental disorders. Generalized anxiety disorder (GAD) and socialphobia have a pronounced negative effect on daily functioning, significantly reduce quality oflife, and require long-term therapy. Medicines of the first choice in treatment of GAD and socialphobia are antidepressants SSRIs and SNRIs, if necessary, benzodiazepine tranquilizers. However,effectiveness of antidepressants does not exceed 75%, side effects often occur, and benzodiazepinesare not suitable for long-term use due to unwanted effects. New opportunities in pharmacotherapyof anxiety disorders are associated with prescription of new drugs. Pregabalin is a promising drug.Anxiolytic mechanism of action of pregabalin is based on blocking the voltage-gated calciumchannels, which leads to inhibition of secretion of anxious neurotransmitters. Pregabalin does notaffect other receptors, has linear pharmacokinetics, does not have significant drug interactions, iswell tolerated by patients, allows dosage adjustment in a wide range, and it is fully suitable for bothlong-term use and relief of situational anxiety. The initial dose is 150 mg/day. The recommendedeffective dosage is 300–600 mg/day 2–3 times a day. Therapeutic effect is manifested during thefirst week of administration. Pregabalin can be used in conjunction with antidepressants SSRIs andSNRIs or as monotherapy (the first choice drug).
Cardiovascular Manifestations and Complications in Marfan, Loyes - Dietz, Ehlers - Danlos Syndromes
Authors: Трисветова Е.Л. 
Published: February 2022

Диагностика наследственных нарушений соединительной ткани основывается на оценке фенотипа, клинических признаках и результатах молекулярно-генетического исследования. Для синдромов Марфана, Лойеса - Дитца и Элерса - Данло характерными являются поражения сердечно-сосудистой системы, влияющие на качество и прогноз жизни. Один из основных клинических признаков при синдроме Марфана - расширение/аневризма грудной аорты, который постепенно прогрессирует и без хирургического лечения приводит к осложнениям в виде разрыва или диссекции сосуда. Поражение артериальных сосудов и аорты при синдроме Лойеса - Дитца протекает агрессивнее по сравнению с синдромом Марфана, и незначительное расширение или патологическая извитость являются показанием для раннего оперативного лечения, поскольку быстро приводят к разрыву сосуда и серьезным осложнениям. При синдроме Элерса - Данло, преимущественно при сосудистом типе, появляются аневризмы и диссекция артериальных сосудов среднего калибра и/или расширение/аневризма грудной аорты, оперативное лечение которых без учета характера изменения соединительной ткани часто неэффективно. Своевременное распознавание синдромов, инструментальная диагностика сердечно-сосудистых проявлений позволят определить оптимальную тактику лечения и предупредить осложнения.
Diagnosis of hereditary disorders of connective tissue is based on the assessment of the phenotype, clinical signs, and results of molecular genetic research. For the syndrome of Marfan, Loyes - Dietz, and Ehlers - Danlos, the lesions of the cardiovascular system are typical, affecting the quality and prognosis of life. One of the main clinical signs in Marfan syndrome is the expansion/aneurysm of the thoracic aorta, which gradually progresses and without surgical treatment leads to complications in the form of rupture or dissection of the vessel. The lesion of the arterial vessels and aorta in Loyes-Dietz syndrome is more aggressive than in Marfan syndrome, and slight dilatation or pathological tortuosity is an indication for early surgical treatment, because it quickly leads to rupture of the vessel and serious complications. In Ehlers-Danlos syndrome, mainly in the vascular type, the aneurysms and dissection of medium-sized arterial vessels and/or expansion/aneurysm of the thoracic aorta appear, the surgical treatment of which without taking into account the nature of changes in the connective tissue is often ineffective. Timely recognition of syndromes, instrumental diagnostics of cardiovascular manifestations will help to determine the optimal treatment tactics and prevent complications.
Blood Infections Caused by Enterobacteria in Patients with Acute Leukemia: Current State of the Problem and Results of a Clinical Study
Authors: Большова Н.А. , Стома И.О. , Искров И.А. 
Published: February 2022

Одним из важных механизмов устойчивости энтеробактерий является продукция β-лактамаз расширенного спектра (БЛРС), цефалоспориназ AmpC и карбапенемаз. Распространенность этих β-лактамаз увеличивается во всем мире, включая европейские страны. Рост количества резистентных микроорганизмов и связанное с ними влияние на смертность во всем мире составляет острую необходимость как в дополнительных терапевтических вариантах, так и в усилении контроля над применением антимикробных препаратов. Клиническую эффективность в отношении этих энтеробактерий могут сохранять ингибитор-защищенные β-лактамы, однако наиболее надежным режимом антибактериальной терапии считают применение карбапенемов, что способствовало их значительному увеличению потребления во всем мире и может быть частично связано с последующим распространением устойчивости к карбапенемам. Одним из способов преодоления резистентности, обусловленной продукцией β-лактамаз, является использование комбинаций β-лактамных антибиотиков с ингибиторами β-лактамаз. Появление новых ингибиторов β-лактамаз, в частности авибактама, активного против нескольких групп ферментов, не чувствительных к действию «классических» ингибиторов, представляет собой существенное достижение антимикробной терапии. Целью исследования явились определение возбудителей инфекций кровотока у пациентов с острыми лейкозами и оценка эффективности стартовых режимов антибактериальной терапии, используемых в условиях гематологического стационара.
One of the important mechanisms of enterobacterial resistance is the production of extended spectrum β-lactamases (ESBL), AmpC cephalosporinases, and carbapenemases. The prevalence of these β-lactamases is increasing throughout the world, including European countries. The increase of the number of resistant microorganisms and the associated impact on mortality worldwide is an urgent need for both additional therapeutic options and increased control over the use of antimicrobial drugs. Inhibitor-protected β-lactams may retain clinical efficacy against these enterobacteria, but carbapenems are believed to be the most reliable antibiotic regimen, which has contributed to a significant increase of carbapenem consumption worldwide and may be partly related to the subsequent spread of carbapenem resistance. One of the ways to overcome the resistance caused by the production of β-lactamases is the use of combinations of β-lactam antibiotics with β-lactamase inhibitors. The emergence of new inhibitors of β-lactamases, in particular avibactam, which is active against several groups of enzymes that are not sensitive to the action of“classical”inhibitors, represents a significant achievement in antimicrobial therapy. The aim of the study was to determine the causative agents of bloodstream infections in patients with acute leukemia and to evaluate the effectiveness of antibiotic therapy regimens used in a hematological hospital.
Diagnostic Significance of Ultrasonography of the Knee Joints in Patients with Hemophilia
Authors: Аверьянов Е.В. , Семеняка В.И. , Асса А.В. 
Published: February 2022

Гемофилическая артропатия возникает вследствие частых кровоизлияний в синовиальные суставы и сопровождается развитием синовита. Установление активности синовита имеет ключевое значение для определения интенсивности и тактики лечения. В данной работе рассматривается диагностическая ценность ультрасонографии для визуализации структур сустава и определения активности синовита. Было обследовано 106 пациентов с тяжелой формой гемофилии и 25 практически здоровых лиц. У пациентов с гемофилией была диагностирована гемофилическая артропатия разных стадий. Высокочувствительное сонографическое сканирование КС выполняли в режиме реального времени с помощью аппарата «Aloka 4000» (Япония), используя линейный датчик с частотой 7,5 МГц. Установлено, что ультрасонография позволяет выявлять ранние признаки хронического прогрессирующего синовита разной активности, оценить интенсивность накопления выпота и степень гипертрофии синовиальной оболочки, определить уровень дегенерации суставного хряща. Показано, что ультрасонография может быть использована как один из методов для дифференциальной диагностики активно прогрессирующего и медленно прогрессирующего синовита у пациентов с гемофилией.
Hemophilic arthropathy occurs as a result of frequent hemorrhages in the synovial joints and is accompanied by the development of synovitis. Establishing the activity of synovitis is of key importance for determining the intensity and tactics of treatment. This article discusses the diagnostic value of ultrasonography for visualizing joint structures and determining the activity of synovitis. We examined 106 patients with severe hemophilia and 25 apparently healthy individuals. Patients with hemophilia were diagnosed with hemophilic arthropathy of various stages. Highly sensitive sonographic scanning of the knee joints was performed in real time using an Aloka-4000 apparatus (Japan) and a linear transducer with a frequency of 7.5 MHz. It was found that ultrasonography allows detecting early signs of chronic progressive synovitis of different activity, assessing the intensity of effusion accumulation and the degree of synovial hypertrophy, and determining the level of degeneration of the articular cartilage. It has been shown that ultrasonography can be used as one of the methods for the differential diagnosis of active and slowly progressing synovitis in patients with hemophilia.