bluuebunny/crossref_metadata_2025_split huggingface dataset:
COVID-19
Authors: Hatami Hossein , Qaderi Shohra , Shah Jaffer , Rezaeian Ahmad Reza , Farsi Yeganeh , Alinasab Faeze , Qaderi Farah , Khosravi Afifeh , Bazgir Narges , Shah Asghar 
Published: July 2022

Background:
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the pathogen responsible for an acute respiratory disease designated COIVD-19, which has spread throughout the world. Despite all the struggles with this virus, still, the majority of societies are affected by COVID-19, which raises many questions such as are these ways of management enough, which is crucial in order to contain the virus spread, and which is not effective. In this systemic review, we tried to summarize the data on different ways of managing COVID-19 outbreaks. Through understanding the efficacy and downsides of different approaches to manage COVID-19, public health officials, governing bodies, and health care administrators may be better equipped with the tools necessary to best manage COVID-19 and pandemics.

Methods:
This systematic review was carried out by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. Articles were selected using several databases PubMed, ScienceDirect, and Google Scholar, all peer-reviewed and published articles from December 1, 2019 to April 23, 2020 that met the inclusion criteria were selected.

Results:
The majority of the included articles were mathematical modeling, cohort studies (n = 9), cross-sectional (n = 6), and one case series. Most articles originated from China and then Singapore. The measures that have been practiced in these articles consisted of close contact tracing and case isolation, quarantine, strict surveillance, lockdown, and travel surveillance.

Conclusions:
The most effective approach is at least the combination of case detection and isolation, and contact tracing or containment measures. In the literature, travel controls seem to be ineffective, personal hygiene should be tough and emphasized.
Medical Error and Under-Reporting Causes from the Viewpoints of Nursing Managers
Authors: Mousavi-Roknabadi Razieh Sadat , Momennasab Marzieh , Groot Gary , Askarian Mehrdad , Marjadi Brahmaputra 
Published: July 2022

Background:
Patient safety as a goal can be achieved by reporting medical errors (ME); however, most errors are never reported. The aim of this study is to explore the causes of ME, and the obstacles in reporting them amongst nurses.

Methods:
We conducted semi-structural interviews, with 12 nursing managers in the biggest teaching hospital in southern Iran (2015-2016). The interview guide concentrated on the causes of ME and barriers in reporting them. All face-to-face interviews were recorded and transcribed verbatim and analysed using thematic analysis.

Results:
In this study 4 main themes were extracted for the causes of ME: personal/social characteristics, nonprofessional practice, hospital related factors/organization contextual factors, and poor management. Also, 5 main themes (such as; personal characteristics, fear from reporting, nonprofessional practices, cultural and social factors, and error surveillance system features) were obtained with regards to barriers in reporting.

Conclusions:
ME can be reduced by improving professional practice and better human resource management. Also, reporting errors can be increased by focusing on cultural and social factors.
Role of Cardiac Biomarkers in Patients of Chronic Obstructive Pulmonary Disease with Acute Exacerbation
Authors: Raghu R. V. , Mawari Govind , Kumar Naresh , Daga Mradul Kumar , Gautam Sachin , Aarthi J. , Chand Siddharth , Ritchie Nupur , Rana Gunjan , Acharya Shubho , Sen Parikshit , Chaudhary Divyansh , Kain Pratischtha , Garg Nishant , Bhoria Dhruv 
Published: July 2022

Background:
Patients with chronic obstructive pulmonary disease (COPD) often have cardiovascular comorbidities. Patients of COPD with cardiovascular complications tend to have more symptoms and a higher mortality than do patients with COPD alone. There are several cardiac biomarkers such as Troponin-T, creatine phosphokinase-MB (CPK-MB), and N-terminal pro-brain natriuretic peptide (NT-proBNP) which can be used to detect cardiac dysfunction in patients of COPD. Retrospective studies suggest that plasma levels of NT-proBNP and cardiac Troponin-T are often elevated in patients with acute exacerbations of COPD and are associated with increased mortality.

Aims and objectives:
In this study, we assessed the presence of cardiac dysfunction in patients presenting with acute exacerbation of COPD (AECOPD) by using cardiac biomarkers proBNP, Troponin-T, and CPK-MB. Patients were followed up for 30 days to know the relationship between cardiac dysfunction and outcome in terms of repeated admissions, intensive care units (ICU) admissions, and/or mortality.

Methodology:
Ninety patients of AECOPD were enrolled in our study. A detailed history was taken and physical examination performed in these patients. All patients in the study were subjected to hematological and biochemical investigations. ProBNP, Troponin-T, and CPK-MB were measured within 48 h of admission as measure of cardiac dysfunction; and outcome was assessed in terms of mortality, ICU admission, and repeated admissions within 30 days of admission.

Results:
Among the study population, 77.77% had at least one deranged cardiac biomarker, and 18.88% of populations had all the three biomarkers of cardiac dysfunction deranged. 24 out of the 90 participants required ventilatory support in the form of noninvasive or invasive ventilation. 7.14% of the study population had repeated admissions, 24.28% had ICU admissions and 11.43% had mortality. All of them had deranged cardiac biomarkers. There was a significant association between deranged proBNP and ICU admission and mortality (P = 0.0151 and 0.0217, respectively). COPD was more prevalent in the age group of 50–70 years and in males. ProBNP levels were significantly elevated in patients who required ventilatory support (P = 0.003).

Conclusions:
Cardiac dysfunction is common during exacerbations of COPD and portends a poor prognosis. Cardiac dysfunction was more prevalent in the elderly. Patients with deranged cardiac biomarkers had a greater number of ICU admissions, repeated hospital admissions, and a higher mortality. In the follow-up, elevated proBNP was found to be a strong marker for predicting ICU admission, mortality, and repeated admissions.
Seminoma of testis with isolated bony metastasis at presentation
Authors: Pandey Ankita , Choudhary Sunil , Verma Chandra Prakash , Mani Nilesh 
Published: July 2022

ABSTRACT
Germ cell tumor (GCT) comprises more than 95% of cases of all testicular tumor. Seminomas are a type of GCT where majority of patient presents with favorable outcome. Metastasis to nonpulmonary are rare scenarios and are grouped as intermediate risk. Most of the patients relapse in pulmonary or nonpulmonary sites within 2 years of treatment completion. However, bony metastasis (BM) on presentation is a rare condition. Here, we report a case of 37-year-old man diagnosed with stage I seminoma and underwent orchidectomy. Positron-emission tomography computed tomography scan after surgery revealed isolated bony metastasis in the left sacrum. Based on this, confirmatory diagnosis of Stage IIIc seminoma was made for which he received four cycles of bleomycin, etoposide, and cisplatin followed by palliative Radiotherapy (RT) to the metastatic region. After 1 year of follow-up, the patient is well and alive with no symptoms.
Use of methylene blue dye for sentinel lymph node mapping in early-stage gynecological cancers – An option for low resource settings
Authors: Singh Nisha , Agrawal Shuchi 
Published: July 2022

Context:
Sentinel lymph node (SLN) mapping is a standard of care in gynecological cancers but with limited resources and equipment, intraoperative use of methylene blue for SLN mapping may be more useful.

Aims:
To authenticate the use of methylene blue dye for intraoperative SLN mapping in cases of early-stage gynecological cancers.

Settings and Design:
This pilot study was conducted in a tertiary care teaching hospital.

Subjects and Methods:
The cases included 14 cervical, 4 endometrial, 1 vulvar, and 1 synchronous cervical-vulvar cancer wherein 21 SLN mappings were done. Four ml of methylene blue was injected submucosally in the cervix in cervical and endometrial cancer. It was injected around the tumor in vulvar cancer. The pelvic lymphatic drainage area was examined in cervical and endometrial cancer while inguinofemoral area was examined in vulvar cancer for any blue LNs. Histopathological examination results were compared for the presence of metastasis in stained and unstained LNs.

Statistical Analysis Used:
The observations were presented as numbers and percentages.

Results:
The SLN mappings showed a detection rate of 76%. The mean number of LNs removed in each case was 10.3 with an average of 2.4 stained and 7.6 unstained LNs. SLN was most commonly found among right external iliac nodes. All stained and unstained nodes among the 16 SLN detections did not show any histological evidence of metastasis suggesting a negative predictive value of 100%.

Conclusions:
Methylene blue is an efficient, feasible, and safe dye for SLN mapping in early-stage gynecological cancer.
Spectrum of Cardiovascular Diseases with Increasing Age and its Association with Geriatric syndromes
Authors: Kumar Pramod , Jain Bhrigu , Soni Nidhi , Dwivedi S. N. , Dey Aparajit Ballav , Chatterjee Prashun , Chakrawarty Avinash 
Published: July 2022

Objective:
The burden of cardiovascular diseases (CVDs) is highest among the older adults, who are often carriers of various geriatric syndromes. Studies evaluating CVDs among the old adults in the low- and middle-income countries are limited. This study was conducted to assess the frequency of CVDs and their risk factors among the older population and their association with geriatric syndromes.

Subjects and Methods:
In this cross-sectional study, 200 health-care seeking adults aged ≥75 years were subjected to routine comprehensive geriatric assessment (assessment for functionality, cognition, depression, frailty, and various geriatric syndromes) and a detailed cardiovascular evaluation using electrocardiography, chest X-ray, echocardiogram, HbA1c level, fasting lipid profile, thyroid function test, serum homocysteine level, and serum NT-pro-BNP.

Results:
The overall frequency of CVDs in this study was 76%. Polypharmacy, multi-morbidity, cognitive impairment, depression, frailty, and impairment of basic and instrumental activities of daily living were present in 50.5%, 91.5%, 6.5%, 10%, 30.5%, 24.5%, and 55% individuals, respectively. CVDs were significantly associated with increased risk of geriatric syndromes (multi-morbidity [odds ratio (OR) 3.61, confidence interval (CI) 1.13 – 11.54, P = 0.030], polypharmacy [OR 5.46, CI 2.23 – 13.34, P = 0.001] and frailty [OR 3.29, CI 1.01 – 10.64, P = 0.047]).

Conclusion:
The prevalence of CVDs and their risk factors among the older population was high and significantly associated with increased risk of geriatric syndromes. These observations further strengthen the need for routine geriatric assessment and integrated management of geriatric syndromes in older patients with CVDs.
Factors Contributing to Falls and the Effect of a Multipronged Approach on the Incidence of Falls in the Older Person in an Outpatient Setting in South India
Authors: Thomas Jini Chirackel , Viggeswarpu Surekha 
Published: July 2022

Background:
A fall is an important predictor of morbidity and mortality in an older adult.

Objectives:
The aim of this study was to enumerate the various factors contributing to falls and assess the effect of a multipronged approach on the incidence of falls in older individuals who are at a risk of falls.

Methodology:
In this prospective interventional trial, we recruited sixty subjects, who presented to the Geriatrics Outpatient department of a tertiary care hospital in South India. Using the Stop elderly accidents, deaths, and injuries protocol, we included subjects who presented with a history of fall in the year preceding the study, those with fear of fall and those who felt unsteady while standing or walking. These subjects were subjected to a detailed assessment and an individualized multipronged interventional program was initiated. The subjects were followed up telephonically after 1 and 3 months to assess compliance and the details of incident fall (if any).

Results:
At baseline, 48.3% had fallen in the year prior to enrolment, of whom 16.7% were recurrent fallers. Various contributory factors for falls were identified - including older age, polypharmacy, sedatives, and anticholinergic drugs. Following a multipronged intervention, 3.6% and 5.3% of the subjects reported falls after 1 and 3 months, respectively. Subjective improvement was reported by 80% and 78.2% of the subjects at 1 and 3 months' follow-up and the compliance with exercises during the follow-up period was good (73%).

Conclusion:
Identifying the subjects at risk for falls and implementing a tailored approach contributed to a reduction in the incidence of falls.
The Outcome of Head up Tilt Test in Older Adults with Typical versus Atypical Features of Syncope
Authors: Mishra Rakesh , Mathews Prasad , Gopinath K. G. 
Published: July 2022

Background:
Syncope is usually a benign condition preventable by simple measures. Its diagnosis by history and inexpensive tests like head-up tilt table (HUTT) test save the patient unnecessary expenditure and stress.

Objectives:
To determine the outcome of head-up tilt test in older adult patients aged 60 years and more who present with typical versus atypical history of syncope, along with a study of the prodromal symptoms, association with comorbid burden, medications, grip strength, and cognitive function.

Materials and Methods:
An observational study of the patients presenting to the department of geriatrics with a history of neurocardiogenic syncope from May 2017 to October 2017 undergoing HUTT test looked at the association of the type of syncope based on the history and outcome of their HUTT test and association with prodromal symptoms, comorbidities, medications, triggering factors, electrocardiography, and Holter.

Conclusions:
The HUTT positivity rate for patients with a history of syncope was 31.8% with no association between typical or atypical syncope and HUTT positivity. Dizziness, lightheadedness, blurred vision, and sweating were significantly associated with typical syncope. No comorbidity or medication had an association with syncope or HUTT response but the comorbid burden had a significant association with positive HUTT response.
Pattern of Dermatoses in the Elderly Population Attending the Dermatology Clinic at a Tertiary Care Center in South-East Rajasthan
Authors: Sharma Avinash , Kushwaha Ramesh Kumar , Kesarwani Vartika , Jain Suresh Kumar , Yadav Devendra , Sharma Sonika 
Published: July 2022

Introduction:
The skin acts as the first line of defense for the body against external injuries. With aging, the architecture of the skin undergoes intrinsic changes that impair its capacity for repair. In addition, the aging skin is more susceptible to injury by external stimuli, including ultraviolet rays and environmental pollutants. The combination of these factors predisposes the elderly to a variety of dermatological disorders, including xerosis, pruritus, photoaging, eczematous disorders, and tumors. The elderly (>60 years of age) population in India accounted for 8.6% (104 million) in 2011, and the figure has been projected to increase to 19% by the year 2050. It is imperative to identify the pattern of cutaneous disorders in this population as skin care regimens aimed to improve epidermal function have been shown to be effective in the prevention and treatment of some of these aging-associated cutaneous disorders.

Objectives:
The objective of the study was to identify the pattern of dermatoses among the elderly population attending the dermatology clinic at a tertiary care hospital in South-east Rajasthan.

Materials and Methods:
We conducted a cross-sectional descriptive study of patients above the age of 60 years who attended the dermatology clinic at a tertiary care hospital in South-east Rajasthan from May 2018 to May 2020. A combination of history, physical examination, and clinical investigations (when appropriate) were used to establish the diagnosis.

Results:
A total of 210 patients were included in this study. Most patients were between the age group of 60–65 years (40.47%). One hundred and thirty-eight were male (65.71%) and 72 were female (34.28%), with a male to female ratio of 1.9:1. Our study demonstrated that xerosis was one of the most common diagnoses seen in 126 cases (60%), followed by eczematous skin conditions seen in 82 cases (39%).

Conclusion:
The elderly constitute an important part of the population. Cutaneous disorders in the elderly range from mild disorders such as cherry angiomas to dermatological malignancies. Therefore, it is important to recognize the pattern of dermatosis in this population so that appropriate therapeutic and preventive strategies could be implemented.
An Operational Semantics for Situated Ideological Systems, with a Case Study Concerning a Paradigmatic Religious Conflict
Authors: Costa Antônio 
Published: July 2022

This paper introduces an operational semantics for what, in previous work, we have called situated
ideological systems: sets of ways to envisage concrete social situations (normatively, valuationally etc.) that individuals and social groups may use to direct their choices and actions in such situations. The agent-based social model that we call Agent Society is used to computationally construe possible social situations where individual agents and groups of agents may find themselves, and to formally represent ideological systems in ways they can collectively share. As a case study of the proposed semantics, the paper formally presents the ideological dynamics underlying the temporal evolution of a paradigmatic situation of religious conflict (between catholics and devotees of African-Brazilian cults), as pictured in the classical Brazilian theatrical play The Keeper of Promises (O Pagador de Promessas). The ideology modeling language TinyIML is used for the computational presentation of the various stages of that ideological dynamics. The syntax and semantics of TinyIML is summarized in an appendix.
Peranan Kreativitas dan Inovasi Dalam Usaha Meningkatkan Volume Penjualan Pada Pondok ”Aroma Vegetarian
Authors: Rusdianto Rusdianto , Subiyanto Subiyanto , Arini Arini 
Published: July 2022

This research was conducted with the aim of describing the process of making food and drinks and serving food at the Palembang Aroma Vegetarian Pondok Restaurant located at Jalan Address. Lt. Abdul Rozak No. 62, Duku, Kec. Ilir Team. II, Palembang City. This study uses creativity and innovation of qualitative descriptive research in the form of exposure to data on the process of making and serving food menus at the Palembang Aroma Vegetarian Restaurant which were obtained from direct observation and secondary data from various sources. Collecting data using observational interviews and documentation of data analysis starting from descriptive qualitative. In the process of making and serving food at the Palembang vegetarian aroma cottage restaurant, the presentation of the food is very attractive and prepares a menu of Chinese food and Indonesian food equipped with fresh drinks.
Pengumpulan data menggunakan wawancara observasi dan dokumentasi analisis data dimulai dari deskriptif kualitatif. Dalam proses pembuatan dan penyajian makanan resto pondok aroma vegetarian Palembang yang penyajian makanan nya sangat menarik serta menyiapkan menu makanan chinese dan makanan nusantara dilengkapi dengan minuman yang segar.
PENDIDIKAN KESEHATAN TENTANG PEMERIKSAAN TRIPLE ELIMINATION PADA IBU HAMIL DI PUSKESMAS SERIRIT II
Authors: Wardana Ketut Eka Larasati , Triguno Yopita 
Published: July 2022

Background: Pregnant woman are one the of the populations at risk of contracting HIV/AIDS, Hepatitis B, and Syphiis. More than 90% of chidren who have HIV, Syphilis and Hepatitis B infections, are infected their mothers. Efforts are needed to break the chain of transmissions examination. Purpose: to educate pregnant women about the Triple Elimination examination. The methods used in this activity are lectures, pretest-postest, discussions, and counseling. Results: there is an increase in knowledge between before and after counseling is given. Conclusion: counseling activities about triple elimination examination in pregnant women can increase pregnant women's knowledge about blood tests during pregnancy. This activity also contributes to the success of government programs in preventing danger signs during pregnancy.
Methodology for verifying the accuracy and completeness of information on income, property and property obligations submitted by employees of the penal system of the Russian Federation
Authors: Коголь Т.Н. , Анцибалова О.В. 
Published: July 2022

В статье рассматриваются особенности осуществления проверки достоверности и полноты сведений о доходах, об имуществе и обязательствах имущественного характера, представляемых работниками уголовно-исполнительной системы Российской Федерации, проводимой в соответствии с требованиями Указа Президента Российской Федерации от 21.09.2009 № 1065 «О проверке достоверности и полноты сведений, представляемых гражданами, претендующими на замещениедолжностей федеральной государственной службы, и федеральными государственными служащими, и соблюдения федеральными государственными служащими требований к служебному поведению».Показаны два основных направления по созданию правовых и организационных начал системы антикоррупционного декларирования в уголовно-исполнительной системе Российской Федерации, само антикоррупционное декларирование рассмотрено как процедурный процесс с выделением его стадий. Предпринята попытка смоделировать общий алгоритм организации и проведения проверки достоверности и полноты сведений о доходах, об имуществе и обязательствах имущественного характера, представляемых сотрудниками уголовно-исполнительной системы Российской Федерации, на основе анализа и систематизации антикоррупционного законодательства с описанием и детализацией каждого из ее этапов. Предложенная в статье методика носит практико-ориентированный характер и выступает своеобразным инструментом единого подхода к антикоррупционному декларированию в уголовно-исполнительной системе Российской Федерации.
The article discusses the features of verifying the reliability and completeness of information on income, property and property obligations submitted by employees of the penal system of the Russian Federation, carried out in accordance with the requirements of the Decree of the President of the Russian Federation dated 21.09.2009 No. 1065 «On checking the reliability and completeness information provided by citizens applying for positions in the federal civil service and federal civil servants, and compliance by federal civil servants with the requirements for official conduct». Two main directions in the creation of legal and organizational principles of the anti-corruption declaration system in the penal system of theRussian Federation are shown, the anti-corruption declaration itself is considered as a procedural process with its stages identification. An attempt is made to simulate the general algorithm for organizing and checking the reliability and completeness of information on income, property and obligations of a property nature, submitted by employees of the penal system of the Russian Federation, based on the analysis and systematization of anti-corruption legislation with a description and details of each of its stages. The methodology proposed in the article is of a practice-oriented nature and serves as a kind of tool for a unifiedapproach to anti-corruption declaration in the penal system of the Russian Federation.