bluuebunny/crossref_metadata_2025_split huggingface dataset:
To study the effect of proning the patient on ROX index in Covid patients on HFNC
Authors: Suresh Arun , Gangele Shraddha , Pai Krishnaraj , Tandon Ruchi , Patil Yuvaraj , Belgaonkar Rahul 
Published: November 2022

The study aimed to determine the outcome of prone position on oxygenation by studying the ROX index of the COVID 19 patients. This study was conducted as a prospective observational study on COVID 19 patients admitted in HDU and ICU requiring HFNC at Gandhi Medical College and Hamidia hospital Bhopal which is a tertiary COVID Centre, during the study period of 1 year. Detailed history was obtained and examination was done. Subjects who did not perform or did not allow prolonged proning were included as control. SpO2, RR, ROX index were assessed at baseline, at 30 min, hourly for 6 hours and at 12 hours to assess the improvement in oxygenation. A total of 60 COVID-19 confirmed cases were enrolled with mean age of 57.22±8.9 years. The two groups were thus comparable with respect to baseline variables. Mean SpO2, RR and ROX index significantly improved following prone positioning. The need for invasive mechanical ventilation was significantly higher in group 2 (30.8%) as compared to group 1 (8.8%), (p&#60;0.05). Similarly, mean time to recovery of hypoxia was significantly earlier in group 1 (6.9±1.8 days) when compared to group 2 (8.2±2.3 days) (p&#60;0.05). Prone positioning is a simple and safe manoeuvre to improve oxygenation in COVID-19-associated hypoxemic respiratory failure. Prone positioning for longer duration reduce the work of breathing and improve the respiratory rate, SpO2 and FiO2 and ROX index. Also, prone positioning for prolonged duration is effective in obviating the need for invasive mechanical ventilation.
Knowledge, attitude and practices of cardiopulmonary resuscitation among medical interns & junior residents
Authors: Shingade Poonam P , Sajjan Saraswati V , Reddy Anil 
Published: November 2022

Cardiopulmonary resuscitation (CPR) is a lifesaving technique that's useful in many emergencies. There is documented evidence that timely performed CPR can prevent sudden death. The quality of CPR depends on the sufficiency of the knowledge of health professionals, with this background the present study was undertaken to assess knowledge, attitude and practice of Cardiopulmonary Resuscitation among Junior Residents and Medical interns. It is a cross-sectional study conducted from October to December 2018 among 100 medical interns and junior residents of a tertiary care institute in Karnataka. A Pre tested structured questionnaire was used to assess the knowledge, attitude and practice among the study participants. The mean knowledge score of MBBS interns was 22.63±4.211 and the mean score of junior residents was 22.06 ± 3.788. Out of the total, 52% of study subjects had fair knowledge, 36% had good knowledge score and only 8% had poor knowledge score. Almost all (90%) the participants had positive attitude towards CPR, 63% of study participants had assisted while performing CPR and 34% had performed CPR independently. The knowledge, attitude and practices of cardiopulmonary resuscitation among the medical interns and junior residents is better in the present study compared to studies conducted in other parts of India. Simulation based training and exposure to more number of CPR practices in real scenarios will further boost up their confidence to perform this life saving technique.
Level of patient satisfaction after subcutaneous mastectomy in gynecomastia
Authors: PS Ajith , Kurian Jacob , N Praveen 
Published: November 2022

The objective of our study was to assess satisfaction in patients undergoing subcutaneous mastectomy for gynecomastia. A retrospective analysis of patients undergoing subcutaneous mastectomy without additional liposuction, from July 2016 to February 2020 in a tertiary care centre in south India, was conducted. They were approached over phone with a questionnaire; their response was recorded and mean value of each variable (total 10 variables) was tabulated against grade of gynecomastia and age interval. The sum of the mean values was taken as patient satisfaction score (PSS) and was grouped into very good satisfaction (15-20), good satisfaction (10-15), average satisfaction (5-10) and poor satisfaction (0-5); for each grade and in each age interval. The patients with grade 1 and 2A gynecomastia showed very good satisfaction after Subcutaneous Mastectomy, with average score of 18.71 and 17.28 respectively; where as those with grade 2B showed good satisfaction, with average score 13. Very Good patient satisfaction and surgical outcome can be obtained after subcutaneous mastectomy in grade 1 and grade 2A gynecomastia which improved body image and thereby quality of life.
Study of radiation enteritis in cervical cancer patients treated with definitive radiotherapy and adjuvant radiotherapy – A prospective study
Authors: S Vijayakumar 
Published: November 2022

The third most frequent type of cancer in the world is cervical cancer. Traditionally cervical cancer treatment is carried by either Radiation therapy alone and/or with chemotherapy. High doses of Radiation therapy can cause gastric enteritis. To study the incidence of radiation enteritis in cervical cancer patients of stage upto IIIA. A total of 94 patients receiving radiation therapy (RT) for cervical cancer treatment were enrolled for the study in our hospital from August 2018 to January 2020. The 94 patients were divided into definitive RT group (64 patients) and Adjuvant RT group (30 patients). The incidences of radiation enteritis were evaluated statistically.In all cervical cancer patients, early radiation enteritis (RE) observed in 68.08%, and late radiation enteritis observed in 21.1%. Patients treated with definitive RT showed more frequent radiation enteritis than in adjuvant RT. In the group treated with definitive RT, the occurrence of early (RE) is more in the Radical radiotherapy group (RRT), whereas late RE appeared more with concurrent chemoradiotherapy (CCRT) group. The late (RE) severe cases (Grade 3,4) observed more with the definitive RT group (only RRT) than in the adjuvant RT group. In the Definitive RT group, early and late RE occurrence is more than the Adjuvant RT group. The incidence of enteritis was correlated with the lengthening of total irradiation time. Methods to reduce small bowel intervention in RT and volume of irradiation will further decrease enteritis morbidity.
Diagnosis and management of a giant ovarian cyst during pregnancy and puerperium: Case series
Authors: Baniya Girish Chandra , Verma Kamala , Kumari Santosh 
Published: November 2022

In the pregnancy and puerperium phase, giant ovarian cysts are highly uncommon. It raises the risk of fetal and maternal morbidity. We describe three cases of large benign ovarian cysts diagnosed and treated at a rural medical college and hospital with limited facilities during the pregnancy and puerperium phase.Data were obtained by history analysis, clinical assessment, laboratory examination, radiological imaging, and histopathological analysis of the culled surgical specimen. Our first case was a 23-year-old primigravida who presented with pain in abdomen. Antenatal sonography confirmed a huge intact left ovarian cyst. She was managed at term by cesarean for obstetrical indication along with left ovarian cystectomy. Our second case, a 25-year-old woman, reported abdominal distention following uncomplicated vaginal delivery. After a complete workup, she was diagnosed with a benign serous ovarian cystadenoma. Laparotomy with left ovarian cystectomy was done. In our third scenario, a 20-year-old primigravida with a giant ovarian cyst at 34 weeks gestation who also delivered vaginally and underwent laparotomy with left ovarian cystectomy. Histopathological examination revealed benign ovarian serous adenoma in all three cases.When a large ovarian cyst is present during pregnancy, it is unearthed that vaginal delivery is possible. In the postpartum period, surgical cyst treatment can be performed with satisfaction.
EDUCATION IN THE NEW ERA: CHALLENGES AND OPPORTUNITIES FROM CONTENT-BASED CURRICULUM TO COMPETENCE-BASED CURRICULUM IN KENYA.
Authors: Wekesa Jesse Dr. Napwora , Joshua Olela Ochieng 
Published: November 2022

The fast and complex changing world coupled with dynamic technical advancements and great need for skilled manpower in the labour market within an ever-growing world economy has brought new challenges and requirements in the education sector (Owala, 2021 in Mulenga and Kabombwe, 2019).
The role of education in many African countries after independence was to impart knowledge to their citizens to help them take up leadership roles and positions in various sectors in order to help in the running of their countries. For example, in Kenya, there have been major reforms in the education sector since independence. The education system was changed in 1964 to 7-4-2-3 to de-colonise education. In 1985, the 7-4-2-3 system was changed to 8-4-4 following the recommendations of the Mackay Commission in order to prepare its graduands for self-reliance, but seemingly, it never accomplished its mandate (Cheptoo and Ramdas, 2020) and in 2017, the education system changed from 8-4-4 to 2-6-3-3-3, which is a Competence Based Curriculum (CBC). Owala (2021) states that Kenya implemented the Competency Based Curriculum (CBC) in 2017 to help her citizens obtain appropriate knowledge, skills, values and attitudes through education with a focus on providing learners with the ability to obtain, improve and use knowledge, values and attitudes which would then lead to the use of skills acquired (Mulenga and Kabombwe, 2019). Momanyi and Rop (2019) argue that change of the education system to CBC was after prospective employer questioned the skills and capacity of university graduates’ competency. They state that competency means the graduates have sufficient knowledge and skills to perform an activity or service to a degree of quality that is acceptable to the industry and the customer in a time within which a competent person at the level could be reasonably be expected to perform the task.
Multi-lingual, Pluri-ethnic Orthodox Monasticism in Palestine and on Sinai, in the Light of the Liturgical Sources with Particular Reference to the Liturgical Manuscript Sinai Arabic 232 (13th Century)
Authors: Wade Andrew 
Published: November 2022

The multiple similarities between the Greek and Syriac eucharistic liturgies of Antioch and its hinterland on the one hand and the Jerusalem Liturgy of Saint James on the other hand situate Jerusalem within a single cultural area as regards liturgical life. Compared with Antioch, however, we have much more early evidence for the Liturgy of the Hours in Jerusalem. Main sources, which are briefly presented in the paper, are
a) the Itinerary of Egeria, who in the 380s produced extensive liturgical notes on celebrations in the Anastasis cathedral and the related stational sites;b) the Armenian Lectionary, 5th century, which gives more specific detail of the services held in Jerusalem;c) the Georgian Lectionary, 6th century, which gives a slightly later stage of the material described in the Armenian Lectionary;d) the Old Iadgari, or first Jerusalem Tropologion, entirely preserved in Georgian.
It is clear from these documents that the Anastasis Cathedral was officiated by monastic communities of different ethnic origins who used their own languages for their liturgical offices. We also have considerable evidence for this period for the Lavra of Saint Sabbas in the Judaean desert, where several ethnic communities prayed separately in their own languages, coming together only for the Eucharistic synaxis (in Greek).
This multi-ethnic situation continues today on Mount Athos and continued throughout the Middle Ages on Sinai. The vast library of manuscripts at Saint Catherine’s monastery is well known. It contains manuscripts in a very wide variety of Christian languages, including numerous liturgical texts.
The Manuscript Sinai Arabic 232 (13th century) contains a complete Psalter, a complete Horologion and other texts. It can be shown to be of Alexandrian Melkite origin, used by Arabic-speaking monks who were part of the Sinai community. There are archaic and specifically Egyptian, and even Coptic, elements that are of special interest.
Hubungan antara Ketahanan Pangan Rumah Tangga, dengan Kejadian Stunting pada Balita Usia 24-59 Bulan
Authors: Febriyanti Anggy , Isaura Emyr Reisha , Farapti Farapti 
Published: November 2022

Latar Belakang; Stunting adalah kondisi gagal tumbuh pada anak balita (Bayi bawah lima tahun) akibat dari kekurangan gizi kronis sehingga anak terlalu pendek untuk usianya. Balita yang mengalami stunting akan memiliki tingkat kecerdasan yang tidak maksimal, menjadikan anak menjadi lebih rentan terhadap penyakit, dan pada saat dewasa dapat beresiko pada menurunnya tingkat produktivitas . Stunting tidak hanya dipengaruhi oleh satu faktor saja melainkan lebih dari satu faktor (multifaktor) diantaranya adalah kondisi ekonomi keluarga, pendidikan orang tua, pendapatan orangtua, ketahanan pangan rumah tangga, nutrisi ibu saat hamil, nutrisi 1000 HPK, asupan makanan dan penyakit infeksi.Tujuan: untuk mengetahui ada tidaknya hubungan antara ketahanan pangan rumah tangga dengan kejadian stunting pada balita usia 24-59 bulan di wilayah kerja Puskesmas Sumberaji, Kabupaten Lamongan.Metode: Penelitian cross sectional ini melibatkan 83 balita yang dipilih secara sengaja didasarkan pada pemilihan suatu karakteristik dengan teknik purposive sampling. Proses pengambilan data dilakukan melalui wawancara untuk variabel ketahanan pangan rumah tangga dan pengukuran antropometri untuk variabel stunting. Analisis data yang digunakan yaitu dengan uji statistik regresi logistik. Variabel bebas dari penelitian ini yaitu ketahanan pangan rumah tangga sedangkan variabel terikat dari penelitian ini yaitu stunting.Hasil: Hasil penelitian didapatkan 29 balita memiliki status gizi stunting (34,9%) dan 54 balita memiliki status gizi normal (65,1%). Selain itu, juga didapatkan jumlah rumah tangga tahan pangan 51,8%, rawan pangan tanpa kelaparan 28,9%, dan rawan pangan dengan kelaparan 18,1%. Berdasarkan uji regresi logistik rumah tangga rawan pangan tanpa kelaparan tidak berhubungan secara signifikan dengan kejadian stunting (p= 219). Sedangkan pada rumah tangga rawan pangan dengan kelaparan berhubungan positif signifikan dengan kejadian stunting (p<0,001), baik pada model yang tidak disesuaikan maupun pada model yang disesuaikan (β-Koefisien: 77,14 (95%CI: 8,72-682,53) ke (β-Koefisien: 87,70 (95%CI: 9,57-804,12) ke (β-Koefisien: 153,41 (95%CI: 11,46-2053,61).Kesimpulan: penelitian ini menyimpulkan bahwa terdapat hubungan antara ketahanan pangan rumah tangga dengan kejadian stunting. Oleh karena itu, perlu diberikan pendidikan gizi tentang pencegahan stunting, khususnya bagi masyarakat dengan kerawanan pangan rumah tangga. Kata Kunci: stunting, ketahanan pangan, balita
Efektivitas Media Sosial Instagram Milik Rumah Sakit di Kabupaten Serang Dalam Promosi Kesehatan COVID-19
Authors: Vionita Luthfia , Prayoga Diansanto 
Published: November 2022

Latar Belakang: Dalam pemutusan rantai penyebaran COVID-19 maka dilakukan promosi kesehatan untuk memberikan informasi kepada masyarakat luas dalam meningkatkan kualitas kesehatan. Dalam promosi kesehatan ini diperlukan media untuk menyampaikan pesan. Salah satu media sosial tersebut ialah Instagram. Instagram merupakan salah satu media sosial yang banyak digunakan masyarakat khususnya kalangan muda. Banyak organisasi layanan kesehatan yang menggunakan media sosial salah satunya rumah sakit.Tujuan: Pada penelitian ini bertujuan untuk melihat efektivitas dari media sosial dalam mempromosikan kesehatan terkait COVID-19 pada rumah sakit di Kabupaten Serang.Metode: Penelitian ini merupakan penelitian kualitatif yang menggunakan data sekunder. Data berasal dari hasil pengamatan akun media sosial Instagram yang dimiliki oleh rumah sakit dengan berbagai tipe yang berada di Kabupaten Serang, total terdapat 3 akun media sosial Instagram. Data dikumpulkan berdasarkan postingan pertama yang terbit pada bulan Maret 2020 – 19 Oktober 2020. Data yang dikumpulkan untuk mengetahui engagement account yaitu dengan melihat total followers, likess, dan comments.Hasil: Semua rumah sakit yang tersebar di Kabupaten Serang bertipe C. Rumah sakit di Kabupaten Serang memberikan pelayanan yang melibatkan teknologi dan informasi salah satunya penggunaan media sosial Instagram. Rumah Sakit Ibu dan Anak Permata Serdang tidak memilik postingan selama periode Maret 2020 – Oktober 2020, postingan pada akun Instagram rumah sakit Hermina Ciruas dan akun Instagram rumah sakit Kurnia Serang mempunyai topik dalam penyampaian pesan terkait COVID-19 sangat beragam. Engagement rate RS Hermina Ciruas yaitu sebesar 1,86%, engagement rate RS Kurnia Serdang sebesar 1,28%, dan engagement rate RSIA Permata sebesar 0%.Kesimpulan: Media sosial instagram bisa digunakan sebagai media promosi kesehatan terkait COVID-19 yang efektif bagi segmentasi usia muda.
Perbedaan Polutan Penyebab Polusi Udara Dalam Ruangan Pada Negara Maju dan Berkembang: Literature Review
Authors: Tarra Zettira  , Ririh Yudhastuti  
Published: November 2022

Latar Belakang: Sebagian besar orang menghabiskan lebi banyak waktu di dalam ruangan, seperti di rumah. Adanya polusi udara dalam ruangan memiliki dampak kesehatan pada penghuni rumah seperti munculnya gejala gangguan saluran pernapasan.
Tujuan: Penelitian ini bertujuan untuk menganalisis perbedaan polusi udara dalam ruangan di negara maju dan berkembang serta dampaknya pada saluran pernapasan.
Metode: Metode yang digunakan untuk mengumpulkan artikel yaitu dengan literature review. Artikel diambil dari database Pubmed, Sage Journal, Science Direct, dan Scopus.
Ulasan: Kontaminan udara yang ditemukan di negara maju antara lain kelembaban, jamur, asap rokok, dan bahan kimia seperti formaldehyde. Pada negara berkembang, kontaminan udara dalam ruangan yang sering ditemukan yaitu asap hasil pembakaran ketika memasak.
Kesimpulan: Hasil telaah artikel menunjukkan kontaminan serta sumber kontaminan udara dalam ruangan pada negara maju dan berkembang berbeda karena perbedaan kondisi rumah dan aktivitas penghuni.
Literature Review: Hubungan Pajanan Benzena, Usia, dan Masa Kerja dengan Kadar Trans, Trans – Muconic Acid (ttMA) Urin pada Pekerja Terpapar Benzena
Authors: Christiansi Welldelin Yufuria 
Published: November 2022

Latar Belakang: Benzena adalah salah satu zat atau bahan kimia yang sering ditemukan dan digunakan di dalam bidang perindustrian, baik di dalam industri percetakan, pengeleman, obat-obatan, plastik, karet buatan, pewarna hingga bensin. Hal ini menyebabkan paparan benzena yang diterima manusia atau pekerja yang bekerja dekat dengan sumber benzena rentan menerima risiko atau gangguan kesehatan yang disebabkan oleh benzena. Salah satu metabolit yang dapat diukur sebagai tanda dari adanya paparan benzena di dalam tubuh adalah ttMA dalam urin.Tujuan: Studi literatur ini bertujuan untuk menganalisis hubungan antara pajanan benzena dengan kadar ttMA urin pada pekerja berdasarkan penelitian yang sudah dilakukan sebelumnya.Metode: Metode penelitian ini adalah literature review yang dimana digunakan untuk mengkaji, memahami, dan menafsirkan penelitian-penelitian yang ada yang sesuai dengan topik yang diambil dengan bersumber dari artikel yang diterbitkan dalam kurun waktu 5 tahun.Hasil: Hasil dari literature review menunjukkan bahwa hampir seluruh penelitian (75%) yang dirangkum menyatakan adanya hubungan antara pajanan benzena dengan kadar ttMA urin. Sedangkan variabel seperti usia dan masa kerja mayoritas (>50%) tidak berhubungan dengan kadar ttMA urin.Kesimpulan: Kesimpulan dalam penelitian ini yang dapat diambil adalah pajanan benzena berhubungan dengan kadar ttMA urin seseorang atau pekerja yang bekerja dekat atau sering terpapar dengan benzena di lingkungan kerjanya. Sedangkan variabel lain seperti usia dan masa kerja tidak memiliki hubungan yang signifikan.Kata kunci: pajanan benzena, usia, masa kerja, kadar ttMA urin
IMPLEMENTASI PEMBELAJARAN BAHASA ANAK USIA DINI DI MASA PANDEMI COVID 19
Authors: Dhieni Nurbiana , Suharti Suharti , Hapidin  
Published: November 2022

Bahasa merupakan sarana untuk berkomunikasi. Melalui berbahasa seseorang atau anak akan dapat mengembangkan kemampuan sosialnya dengan orang lain. Bahasa merupakan salah satu aspek perkembangan pada anak usia dini yang penting untuk dikembangkan. Pengembangan bahasa pada anak usia dini dapat dilakukan dengan desain pembelajaraan yang dilakukan oleh guru pada lembaga PAUD. Tujuan pelaksanaan kegiatan pengabdian masyarakat ini adalah implementasi pembelajaran bahasa anak usia dini di Pulau Untung Jawa Kepulauan Seribu. Objek pengabdian masyarakat ini adalah guru pendidikan anak usia dini. Pelaksanaan kegiatan pengabdian masyarakat ini menggunakan metode pendampingan bagi guru secara daring selama pandemic covid—19. Pendampingan ini dilakukan melalui seminar dan workshop yang dilaksanakan secara online untuk memberikan pemahaman kepada guru tentang pembelajaran bahasa anak usia dini yang melaksanakan belajar jarak jauh atau belajar dari rumah sebagai imbas ditutupnya lembaga PAUD di masa pandemic covid-19. Hasil kegiatan in berupa terbentuknya pemahaman guru untuk implementasi pembelajaran bahasa pada anak usia dini meskipun anak-anak belajar dari rumah. Sehingga diharapkan guru PAUD dapat lebih kreatif merancang pembelajaran bahasa yang menarik di berbagai kondisi.
Accurate Diagnostic Tissue Segmentation and Concurrent Disease Subtyping with Small Datasets
Authors: Frank Steven 
Published: November 2022

Abstract
· Purpose: to provide a flexible, end-to-end platform for visually distinguishing diseased from undiseased tissue in a medical image, in particular pathology slides, and classifying diseased regions by subtype. Highly accurate results are obtained using small training datasets and reduced-scale source images that can be easily shared.
· Approach: an ensemble of lightweight convolutional neural networks (CNNs) is trained on different subsets of images derived from a relatively small number of annotated whole-slide histopathology images (WSIs). The WSIs are first reduced in scale to preserve anatomic features critical to analysis but also facilitate convenient handling and storage. The segmentation and subtyping tasks are performed sequentially on the reduced-scale images using the same basic workflow – generating and sifting tiles from the image, then classifying each tile with an ensemble of appropriately trained CNNs. For segmentation, the CNN predictions are combined using a function to favor a selected similarity metric, and a mask or map for a a candidate image is produced from tiles whose combined predictions exceed a decision boundary. For subtyping, the resulting mask is applied to the candidate image, and new tiles are derived from the unoccluded regions. These are classified by the subtyping CNNs to produce an overall subtype prediction.
· Results and conclusion: this approach was applied successfully to two very different datasets of large WSIs, one (PAIP2020) involving multiple subtypes of colorectal cancer and the other (CAMELYON16) single-type breast cancer metastases. Scored using standard similarity metrics, the segmentations outperformed more complex models typifying the state of the art.