bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Survey on Adolescents' Cognition, Attitude, and Behavior of Using Analgesics: Take Sichuan and Chongqing as an Example
Authors: Yin Lian , Wang Kun , Zhang Tingran , Liu Hengxu , Li Yinghong , Luo Jiong 
Published: March 2022

ObjectivesTo explore the current situation of knowledge, attitude, and behavior about the correct use of analgesics among adolescents in Western Sichuan and Chongqing and its related factors and to provide a reference for health promotion schools to promote correct medication education and relevant policy-making.MethodsA questionnaire survey was conducted among senior high school students in Sichuan and Chongqing by stratified random sampling. A total of 48 classes were surveyed and 2,280 valid questionnaires were obtained. Descriptive analysis, mean value comparison, and multiple regression analysis were conducted for the data using SPSS17.0 statistical analysis software.Results(1) It showed that 65.5% of the students used methods other than drugs to deal with pain, 52.9% of the students took analgesics prescribed by doctors, more than 60% of the students got information about pain treatment from medical professionals or their families members, 71.6% of the students read the use label when using drugs, and only about 20% of the students knew the dosage and side effects of analgesics. (2) The higher the grade, the higher the proportion of students who often take analgesics prescribed by doctors, the higher the proportion of students who use methods other than drugs to relieve pain, the higher the proportion of students who read the label of analgesics, and the more information sources are introduced by family members. The better the knowledge, attitude, efficacy, and accomplishment of using analgesics, the better the behavior of using analgesics correctly. (3) Students who had taken analgesics provided by their family or friends and who had taken anti-inflammatory analgesics did not perform well in the correct use of analgesics.ConclusionThe key factors that influence the correct drug use behavior of middle school students are their correct drug use literacy, efficacy, attitude, and reading of analgesics. Therefore, schools should strengthen cooperation with pharmacists and encourage the promotion of parent-child education activities of correct drug use.
Delayed Recovery After Deep Brain Stimulation Surgery for Parkinson's Disease Under General Anesthesia-Cases Report
Authors: Feng Long , Liu Yaohong , Tang Hao , Ling Zhipei , Xu Longhe , Yuan Weixiu , Feng Zeguo 
Published: March 2022

ObjectiveParkinson's disease (PD) is a neurodegenerative syndrome, and deep-brain stimulation (DBS) is an effective therapy for carefully screened patients with PD. However, delayed recovery after anesthesia, which occurs after taking prolonged general anesthesia for such patients, has been reported less frequently in literature. This report explores the possible causes of postoperative awakening delay in patients undergoing DBS surgery due to general anesthesia and provides a reference for anesthesia management of similar operations in the future.Case PresentationThree patients with PD elective underwent DBS surgery. The first patients demonstrated walking disability, gait deficits, unstable posture, limb stiffness, and imbalance. The second demonstrated left limb static tremor, stiffness, and bradykinesia. The third demonstrated bradykinesia, rigidity, walking deficits, and decreased facial expression. These included two males and one female with a mean patient age of 60.7 ± 6.7year, weight of 63.7 ± 11 kg, the height of 163.3 ± 7.6 cm, and preoperative American Society of Anesthesiology rating of 2.3 ± 0.6. The preoperative Glasgow Coma Scale mean score was 15. All patients completed the operation under general anesthesia (the mean anesthesia time was 5.3 ± 1.1 h). The mean operation time was 252 ± 60 min. The mean bleeding volume was 50 ml, and the urine volume was 867 ± 569 ml. However, all the patients showed unconsciousness after 95 ± 22 min after stopping the anesthetic, and the respiratory function was in good condition, but they could not cooperate with anesthesiologists and had no response to the anesthesiologist's instructions. The mean hospital stay was 17 ± 7 days. All patients were discharged uneventfully. The average number of days patients followed up postoperatively was 171 ± 28.5 days. Motor and speech were improved significantly postoperatively in three patients compared with preoperatively. Taking anti-Parkinson medication was markedly reduced. There were no complications during postoperative follow-up.ConclusionsTo prevent delayed recovery occurring after DBS surgery in Parkinson's disease, it is recommended to take scalp nerve block + general anesthesia to complete the procedure while avoiding general anesthesia.
What are the independent parameters associated with increased mortality risk in patients with severe sepsis or septic shock in the intensive care unit?
Authors: YİLDİZ Ozlem , TABAKOGLU Erhan 
Published: March 2022

Objective: Determining the factors associated with prognosis in patients with sepsis admitted to the intensive care unit who were treated according to international guidelines. Patients were evaluated with respect to treatment results, morbidity and mortality rates, infection foci and pathogens.
Materials and Methods: A total of 43 patients with severe sepsis who were treated in Trakya University Medical Faculty, Department of Medical Intensive Care, between July 2009 and December 2009, were enrolled in this prospective observational study. Patients were grouped as survivors and non-survivors. Clinical characteristics and APACHE II, SAPS II, SOFA scores were recorded. Factors associated with mortality were analyzed by Cox regression.
Results: Overall mortality rate was 23.2%. Patients with failure in three or more organs had higher mortality (p = 0.001). Also, mortality rates were higher in patients with cardiovascular, renal, hematological and neurological failure in the first day (p = 0.002, p = 0.011, p = 0.020, p = 0.019, respectively). All scores at the 24th and 72nd hours were significantly higher in the non-survivor group compared to survivors (p
Tek Damar Off-pump ve On-pump Koroner Arter Cerrahisinin Postoperatif Komplikasyonlara Etkisi
Authors: YILDIRIM Funda , AMANVERMEZ ŞENARSLAN Dilşad , BAYRAM Barış , KURDAL Adnan Taner , KARAASLAN YÜKSEL Özlem , TETİK Ömer 
Published: March 2022

Giriş ve amaç: Günümüzde koroner bypass ameliyatları hala yaygın olarak on-pump CABG ve off-pump CABG tekniği ile yapılmaktadır. Bu retrospektif klinik çalışmada her iki cerrahi yöntemin kısa ve uzun dönem komplikasyonlarını araştırdık.
Gereç ve Yöntemler: Bu çalışmaya 2011-2015 yılları arasında kliniğimizde Syntax skorlamasına göre izole tek damar koroner arter hastalığı olan; on-pump (Grup 1) ve off-pump (Grup 2) koroner arter cerrahisi geçiren toplam 43 hasta dahil edilmiştir. Bu hastalarda postoperatif erken dönem komplikasyonlar ve bir yıllık majör advers kardiyovasküler ve serebral olaylar karşılaştırılmıştır.
Bulgular: Her iki grup arasında demografik verilerde istatistiksel olarak anlamlı fark saptanmadı. Postoperatif komplikasyonlar açısından atrial fibrilasyon off-pump cerrahi yapılan grupta anlamlı olarak daha az saptanmıştır. Yoğun bakımda ve hastanede kalış süreleri, pnömoni, sternal enfeksiyon ve postoperatif drenaj miktarları açısından anlamlı farklılık saptanmamıştır. Operasyon sonrası uzun dönemde majör adverse kardiyovasküler ve serebral olaylar (MACCE) açısından gruplar arasında farklılık saptanmamıştır.
Sonuç: Sonuç olarak koroner bypass cerrahisinde uygulanacak yöntemin hastanın risk skorlamasına göre belirlenmesini öneriyoruz.
Antifungal Kullanımının Değerlendirilmesi: Türkiyenin Batısına Ait Çok Merkezli Nokta Prevelans Çalışması
Authors: SENOL Sebnem , EREN KUTSOYLU Oya Özlem , TURHAN Özge , ALP ÇAVUŞ Sema , IŞIKGÖZ TAŞBAKAN Meltem , ÖZTÜRK Şerife Barçın , SAYIN KUTLU Selda , ÇETİN Çiğdem Banu , KAYA Onur , ÖZHAK Betil , PULLUKÇU Hüsnü , ERTUĞRUL Bülent , KUTLU Murat , MERMUT Gülşen , ERGİN Cagri , METİN Dilek Yeşim , YAPAR Nur , AVKAN-OGUZ Vildan 
Published: March 2022

Giriş ve Amaç: Son yıllarda yeni ajanların da kullanıma girmesiyle birlikte antifungal tüketimi giderek artmıştır. Bu durum, direnç gelişimi konusunda endişelere neden olmaktadır. Ülkemizde antifungal tüketimine ait veriler oldukça sınırlıdır. Bu çalışmada, Türkiye’nin batısındaki yedi üniversite hastanesinde yatan hastalarda antifungal kullanımının değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Çalışma ekibi tarafından hazırlanan antifungal kullanım formu, tüm merkezler tarafından, aynı gün içinde, antifungal kullanan tüm hastalar için, nokta prevalans yöntemi ile dolduruldu, elde edilen veriler SPSS programı ile değerlendirildi.
Bulgular: Toplam hasta sayısı 4969 idi. Hastaların 112(%2.2) ’si antifungal tedavi almaktaydı. Bu 112 hastanın verileri değerlendirildiğinde; antifungal kullanan hastaların 56 (%50)’sı hematoloji-onkoloji, 20 (%17,8)’si yoğun bakım (YB), 23 (%20,5)’ü dahili bilimler ve 13 (%11,6)’ü cerrahi bilimlerde izlenmekteydi. En sık kullanılan antifungal flukonazol [44(%39,3)] olup %34.1’i profilaksi amacı ile kullanılmaktaydı. Tedavilerin %38’i hedefe yönelik, %26.8’i ampirik ve %18,8’i preemptif olarak tanımlanmıştı. Yattığı kliniğe göre tedavi endikasyonları değerlendirildiğinde en çok pre-emptif antifungal kullanımı hemato-onkoloji kliniğinde %71.4 (15/21) görülürken ampirik tedavi en çok yoğun bakımlarda %50 olmuştur.
Sonuç: Çalışmamızda antifungal tüketim oranı %2.2 olup, antifungal ajanlar daha çok hematoloji ve dahili birimlerde kullanılmıştır. Antifungal tedaviye başlama nedeni en fazla 'kanıtlanmış mantar infeksiyonu' olarak gözlenmiştir. En sık izole edilen patojenler Candida türleri olmasına rağmen, antifungal ajan seçimi hastanın yattığı kliniğe bağlıdır. Antifungal tüketim açısından yedi merkez arasında anlamlı fark gözlenmemiştir. Bu durum ülkemizdeki antifungal kullanımı politikası ile açıklanabilir. Bu sonuçlara bağlı olarak her hastane kendi verilerini izlemelidir ve izole edilen fungal patojenlere göre antifungal tedavi politikası geliştirilmelidir.
Sağlık Kurumlarında İyi Uygulama Örnekleri: Türkiye İncelemesi
Authors: KAYA Mustafa , SARIÇOBAN Sinem 
Published: March 2022

Giriş ve Amaç: Sağlık kurumlarında gerçekleştirilen iyi uygulamalar, hem değişime uyum sağlanması hem de kalite ve verimliliğin artırılması ile ilişkili olması nedeniyle önem arz etmektedir. Ayrıca iyi uygulama çalışmalarının düşük kaynak kullanımı ile gerçekleştirilmesi, bu uygulamaları daha cazip hale getirmektedir. Bu çalışmada Türkiye’de sağlık kurumlarında gerçekleştirilen iyi uygulama örneklerinin incelenmesi amaçlanmıştır.
Gereç ve Yöntemler: Bu amaçla 01.12.2019-30.12.2020 tarihleri arasında Kamu Hastaneleri Genel Müdürlüğü’ne bağlı sağlık kurumlarında gerçekleştirilen iyi uygulama örnekleri incelenmiştir. Sağlık Bakanlığı’nın internet sitesinden elde edilen veriler, Microsoft Excel Programı yardımıyla düzenlenmiş ve araştırmada kullanılabilecek hale getirilmiştir.
Bulgular: Araştırma sonucunda, incelemenin yapıldığı tarihlerde toplam 31 ilde, 84 iyi uygulamanın gerçekleştirildiği saptanmıştır. İyi uygulamaların en fazla 2020 yılının Mayıs ayında, eğitim araştırma hastanelerinde ve eğitim ile ilgili alanlarda yapıldığı bulunmuştur.
Sonuç: Gerçekleştirilen iyi uygulama örneklerinin ihtiyaçlarla paralellik gösterdiği sonucuna ulaşılmıştır.
hücre sağkalım verimi ve protokol etkinliği açısından kollajenaz yönteminin en uygun yöntem olduğu gösterildi.
Tolkappiya Meyppatukalin ullitukalum Natrinai Mantarin ulaviyalum
Authors: M Elangovan 
Published: March 2022

Tholkappiyam is the most ancient extent Tamil grammer text and the oldest extant long work of Tamil Literature. The surviving manuscripts of the Tholka ppiyam consists of three books each with nine chapters namely Eluthu, Chol and porul. Among the nine chapters in porul, Maippattiyal is one of the above nine. It is named thus in view of the fact that it expounds the feelings and emotions. The scholars will say the eight states of being beginning with Nagai, Azukai, ilivaral, Marutkkai, Acham, Perumitham, Vekuli, uvakai are the basic eight categories of Meyppadu. This Article Compares the above eight categories with Natrinai is a book of Ettuthogai a Sangam literature anthology. This belongs to Sangam Poetry of the oldest extant Tamil Literature.
Suvadiyum Pathipu Paniyum
Authors: M Anusooya 
Published: March 2022

The collection of Palm-leaf manuscripts spread throughout Tamil Nadu or the position of the editors who went in search of the manuscripts they needed are understood by the introductions to their book. The government epigraphy library was the only one that did the work before institutions like Madurai Tamil Sangam and thiruvavaduthurai adheenam were involved in epigraphy collection. When an manuscript for a book is obtained, the editors do not have the means to publish it. They searched for many manuscripts. It is possible to know the various messages of putting together a collection of clues that the editors who bibliographic them encountered and collected. They also focused on looking at manuscripts abroad. Reading the old manuscript is a problem in today's environment, reading and printing many manuscripts for the same book is a very difficult one. From this we can see how much difficulty they will have suffered for the Tamil version. It is intended to examine how the work of the edition from the manuscript took place.
Olfactory Changes in Coronavirus Infection as an Indicator of the Mild Course of the Disease
Authors: Владимирова Т.Ю. , Чернышенко И.О. , Куренков А.В. , Галиева К.Р. 
Published: March 2022

Цель. Исследование пациентов, находящихся на стационарном и амбулаторном лечении с диагнозом новой коронавирусной инфекции, на предмет изменения обонятельной функции и его связи с тяжестью заболевания.Материалы и методы. Всего в исследовании участвовали 358 пациентов в возрасте от 18 до 95 лет. Всем пациентам была выполнена компьютерная томография (КТ) органов грудной клетки, взят мазок из носа и глотки ПЦР РНК COVID-19 (полимеразная цепная реакция с автоматической экстракцией рибонуклеиновой кислоты коронавирусной инфекции 2019 г.), проведено анкетирование на тему изменения обоняния и вкусовосприятия. Пациенты опрашивались дважды: в день выявления заболевания и через один месяц.Результаты. Существует прямая зависимость (r=0,87) между изменением обоняния и положительным результатом мазка на COVID-19 (коронавирусная инфекция 2019 г.). Также мы выявили зависимость между гипосмией/аносмией и низким процентом поражения легких (r=0,78, среди пациентов молодого возраста r=0,91).Заключение. Полученные данные могут использоваться врачами для выявления пациентов с бессимптомной и легкой формами COVID-19 для своевременной их изоляции и лечения.
Purpose. To study patients undergoing inpatient and outpatient treatment with a diagnosis of a new coronavirus infection for changes in olfactory function.Materials and methods. A total of 358 patients aged 18 to 95 years participated in the study. All the patients underwent a computer tomography (CT) scan of the chest organs and a PCR of COVID-19 RNA (polymerase chain reaction with automatic ribonucleic acid extraction of coronavirus infection 2019) smear from the nose and pharynx, a questionnaire for changes in the sense of smell and taste perception. Patients were interviewed twice: on the day of detection of the disease and after one month.Results. It was found that there is a direct relationship (r=0.87) between the change in the sense of smell and the positive result of the smear on COVID-19 (coronavirus disease 2019). We also found a relationship between hypo-/anosmia and a low percentage of lung damage (r=0.78, among young patients r=0.91).Conclusion. The obtained data can be used to identify patients with asymptomatic and mild forms of COVID-19 for timely isolation and treatment.
Clinical and Diagnostic Features of Foreign Bodies of the Lower Respiratory Tract in Children
Authors: Устинович К.Н. , Иконникова М.Л. , Краевская С.В. 
Published: March 2022

Цель. Оценить особенности клинических проявлений инородных тел нижних дыхательных путей у детей и определить информативность используемых методов диагностики данной патологии.Материалы и методы. Проведен ретроспективный анализ медицинских карт стационарного пациента 264 детей, обратившихся за оказанием медицинской помощи в учреждение здравоохранения «3-я городская детская клиническая больница г. Минска» с предварительным диагнозом «инородное тело нижних дыхательных путей» (ИТДП).Результаты. Оценена статистическая значимость клинических, аускультативных и рентгенологических признаков у пациентов с бронхоскопически подтвержденным (1-я группа) и опровергнутым (2-я группа) диагнозом ИТДП. Было выявлено отсутствие в исследуемых группах статистически значимых различий по наличию таких клинико-рентгенологических проявлений, как цианоз, одышка, рвота, жесткое дыхание, удлинение вдоха, смещение органов средостения, усиление легочного рисунка. Выявлено ежегодное увеличение количества ларинготрахеобронхоскопий у пациентов без ИТДП.Выводы. ИТДП наиболее часто встречаются у мальчиков в возрасте до 2 лет и, как правило, удаляются эндоскопическим методом с первой попытки; аускультативные и рентгенологические признаки малоинформативны для диагностики данной патологии; увеличение числа ларинготрахеобронхоскопий у пациентов без ИТДП требует поиска и внедрения более чувствительных методов диагностики данной патологии.
Purpose. To investigate the clinical features of foreign bodies of the lower respiratory tract and evaluate the information value of the methods using for diagnosis of this pathology. Materials and methods. A retrospective analysis of medical records of 264 children with a initial diagnosis of a foreign body of the lower respiratory tract (FB LRT) applied for medical care at the Healthcare Institution "3rd City Children’s Clinical Hospital" in Minsk (Belarus) was carried out.Results. The statistical significance of clinical, auscultatory and radiological signs in patients with bronchoscopically confirmed diagnosis of foreign body and in patients without FB was evaluated. Statistically significant differences in the study groups in the presence of cyanosis, dyspnea, vomiting, hard breathing, prolonged inspiration, displacement of the mediastinal organs, and increased pulmonary pattern were not revealed. An annual increase in the number of laryngotracheobronchoscopies in patients without FB was also found.Conclusions. FB LRT is the most common in boys under 2 years old and usually being removed endoscopicially from the first attempt; auscultatory and radiological signs are of little significance for the diagnosis of this pathology; an increase in the number of laryngotracheobronchoscopies in patients without FB LRT requires the implementation of more sensitive methods for diagnosis of this pathology.
Sektor Unggulan Daerah Kabupaten Buru
Authors: Jelira Noch Fernando , Sangadji M. Faisal 
Published: March 2022

Penelitian ini mengkaji pembangunan ekonomi daerah melalui sektor unggulan yang ada pada kabupaten Buru. Pendekatan sektoral menitikberatkan pada sektor ekonomi sehingga basis ekonomi menjadi landasan utama dalam proses peningkatan pembangunan daerah di kabupaten Buru. Ada empat subjek utama dalam penelitian ini yaitu (1) sector unggulan kabupaten Buru dalam kaitannya dengan pertumbuhan ekonomi daerah (2) analisis basis ekonomi dengan pendekatan Local Question dan Multiplier, (3) Analisis pertumbuhan ekonomi dengan Shift Share, dan (4) Analisis strategi kebijakan dalam rangka peningkatan pengembangan daerah di Kabupaten Buru. Penelitian ini menggunakan mixed methods dengan pendekatan kuantitif dan kualitatif. Hasil penelitian menunjukkan ditemukan lima sektor basis ekonomi di Kabupaten Buru dan tiga belas sector non basis. Selanjutnya ditemukan bahwa Efek Penggada (multiplier) Pendapatan Sektor Basis Lebih besar dari pada efek penggada pendapatan di sektor non Basis.
Deskripsi Analitik atas Gerak Pertumbuhan dan Perkembangan Institusi Pendidikan Tinggi Muhammadiyah di Sulawesi Tenggara
Authors: Alifuddin Muhammad , Samritin Samritin , Rosmini Rosmini 
Published: March 2022

Penelitian ini adalah upaya mendeskripsikan secara analitik tentang pertumbuhan dan perkembangan Perguruan Tinggi Muhammadiyah (PTM) di Sulawesi Tenggara. Data-data yang digunakan dalam tulisan ini selain bersumber dari hasil wawancara, pengamatan dan telaah dokumen. Seluruh data yang diperoleh dianalisis dengan menggunakan paradigma Miles dan Huberman. Penelitian ini menyimpulkan: (1) secara historis pertumbuhan dan perkembangan PTM di Sultraawesi tidak dapat dilepaskan dengan dinamika politik yang sedang berkembang. Lima PTM yang kini eksis, seluruhnya terwujud dalam suasana politik yang terbuka dan atau berbasis pada penilian yang fair, jauh dari praktik politik sektarian/partisan; (2) selain faktor keterbukaan sistem politik, Pertumbuhan dan perkembangan PTM di wilayah ini, terkait erat dengan kemampuan SDM persyarikatan mengelola setiap momen sebagai momentum untuk mewujudkan monumen infrastruktur akal budi. Hal tersebut terjadi karena kekuatan jaringan Muhammadiyah, sifat kolektif kolegial dan kuatnya etos filantropi warga Muhammadiyah. Modal sosial budaya tersebut dapat dikelola dan dimobilisasi secara elegan sehingga pada gilirannya memberi kekuatan bagi penggiat persyarikatan di wilayah ini untuk tidak sekedar mengembangkan PTM yang telah ada tetapi juga membangun PTM baru; (3) peningkatan jumlah dan kualitas PTM di Sultra terjadi karena seluruh kekuatan modal sosial budaya plus jaringan luas yang melekat pada persyarikatan Muhammadiyah dapat dikelola dan diaktualkan melalui proses framing yang cerdas dan elegan. Melalui sosialisasi, promosi dan pemasaran ide yang faktual memantik banyak pihak untuk terlibat guna maju bersama Muhammadiyah untuk membangun dan mengembangkan PTM di Sulawesi Tenggara.
RANCANG BANGUN GENERATOR AKSIAL DENGAN MENGGUNAKAN MAGNET PERMANEN NdFeB PERSEGI PANJANG
Authors: Syam Sudirman 
Published: March 2022

Generator aksial atau Axial Flux Magnet Permanen (AFPM) termasuk generator kecepatan putaran rendah yang biasa digunakan pada Pembangkit Listrik Tenaga Bayu (PLTB). Generator ini memiliki posisi rotor dan stator tegak lurus terhadap porosnya. Pada rotor terdapat magnet permanen dan bagian stator terdapat kumparan kawat tembaga. Tujuan penelitian ini adalah menganalisis karakteristik tegangan keluatan generator aksial dengan menggunakan magnet permanen jenis Neodymium Ferit Boron (NdFeB) yang disusun secara berlapis. Metode yang digunakan adalah merancang, membuat, dan mengukur keluaran generator aksial tanpa beban dan berbeban. Berdasarkan hasil penelitian, generator tanpa beban dengan rotor empat lapisan magnet menghasilkan tegangan keluaran tertinggi sebesar 3,06 Volt – 10,77 Volt pada kecepatan putaran rotor 360 rpm – 1328 rpm. Sementara pada kondisi berbeban lampu DC 5 watt, kecepatan putaran rotor menurun antara 355 rpm – 1335 rpm tegangan output antara 2,85 Volt – 5,86 Volt.