bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pelatihan konselor pemeriksaan sindrome metabolic pada pengurus majlis taklim masjid Al Mustaqim di Sanggrahan Kasihan Bantul
Authors: Imania Dika Rizki , Imron Mohammad Ali 
Published: January 2022

Latar belakang : World Health Organization (WHO) 2013 mengemukakan bahwa non-communicable disease (NCDs) merupakan tantangan kesehatan terbesar pada abad 21. Dari seluruh angka morbiditas NCDs, jumlah cardiovascular disease (CVD) merupakan yang terbesar yaitu 17,3 juta jiwa/ tahun. Berkaitan dengan diabetes, pada sebagian penderita diabetes tipe dua atau intoleransi glukosa, didapatkan serangkaian faktor risiko yang muncul bersamaan dengan faktor risiko CVD. Fenomena tersebut disebut dengan kejadian sindrom metabolik. Tujuan : memberikan pengetahuan dan keterampilan kepada kader untuk melakukan screening sindrom metabolik sehingga pengurus maupun peserta majlis taklim bisa mengubah pola hidup menjadi lebih sehat lagi. Metode : metode yang digunakan adalah koordinasi, pemberdayaan sumber daya manusia, promosi dan sosialisasi kader, pelatihan kader, penyusunan buku pedoman kader, pelaksanaan jasa layanan kesehatan, evaluasi kegiatan, dan pelaporan pencatatan kegiatan. Hasil : menghasilkan empat kader terlatih dan hasil pada peserta bahwa kategori usia dewasa akhir, lansia akhir dan manula lebih rentan terkena Sindrom Metabolik. Hasil akhir yang diharapkan dari kegiatan ini adalah meningkatkan kesadaran masyarakat untuk mengetahui pentingnya pengetahuan tentang sindrome metabolik. Kesimpulan : Pemberian penyuluhan dan pelatihan kader dalam screening sindrome mmetabolik dapat menambah pengetahuan dan wawasan pengurus majlis taklim masjid Al Mustaqim Di Sanggrahan Ngestiharjo Kasihan Bantul.
Analysis of the curative effect of limb salvage therapy in patients with soft tissue sarcoma who underwent extensive resection combined with skin flap transplantation
Authors: Wu Wei-na , Cao Hai-ying , Feng Zhen 
Published: January 2022

Purpose: Patients who were diagnosed with soft tissue sarcoma (STS) of limbs and met the indications for amputation because of no effective soft tissue coverage after extensive tumor resection were treated with skin flap transplantation and therapeutic courses were observed.
Methods: A total of 23 patients, pathologically diagnosed as soft tissue sarcoma from January 2011 to June 2015 and whose effective soft tissue coverage was not guaranteed due to extensive tumor resections were included. They underwent extensive tumor excision and skin flap grafting. The postoperative follow-up, tumor control and functional recovery was evaluated as per the Musculoskeletal Tumor Society (MSTS) score.
Results: The follow-up time was from 8 to 60 months, with an average follow-up of 39.69 months. Of the 23 patients, 10(43.47%) died of tumor metastasis from 8th to 23rd months after surgery. In these 10 cases, 2 cases (8.70%) subsequently underwent amputation because of local tumor recurrence. The remaining 13 patients are recurrence free till date of follow up. The MSTS limb function score at 3 months after surgery of all patients were 7-28 points, with an average of 22.56 points, and the excellent and fair scores are observed in 91.30% of patients.
Conclusion: For patients who cannot achieve effective soft tissue coverage after extensive resection of soft tissue sarcoma and meet the indications of amputation can have limb preservation by extensive tumor resection combined with skin flap transplantation with a good functional results
The state of cardiorespiratory system in female students with idiopathic arterial hypertension under treadmill training
Authors: Soltysik L.M. , Levchenko V.A. , Bublyk S.A. , Sovtus V.I. , Svystun I.I. 
Published: January 2022

Annotation. One of the most widespread pathogenic condition, among young women, is idiopathic arterial hypertension which significantly worsen the life condition, learning abilities and in future can lead to the development of arterial hypertension, ischemic heart disease, complicate course of the pregnancy and delivery. The aim of the research was to examine the functional state of cardiorespiratory system in female students of 1-3rd year of high school with the signs of idiopathic arterial hypertension under the fixed stress- test. The main group consisted of 32 female students of 1-3rd year of high school with idiopathic arterial hypertension. The control group was formed from almost healthy female students from the same years of study. The treadmill (Biomedical Systems), due to Bruce protocol, was used for estimating the level of tolerance to physical pressure. To assess the degree of reliability of the results of the study used a variational-statistical method of analysis of the results using a package of statistical programs Statistica V. 10 (USA) and the recommendations of O. Yu. Rebrova (2002). Under the treadmill test it was revealed the decrease of tolerance to physical pressure in female students from the main group on 31,24% (р<0,05), in comparison to the MET numbers got in the control group (37,11±2,16) ml/kg/min. Under stress-test reliable increase of heart rate in control group was observed after 6-8 minutes of training, in female students from control group the same reaction was observed after 3-5 min of training without its further increase. The increase of SBP in the main group at the peak of training was (20,88±3,12)%, in the control group – this index was completely higher (27,88±3,36)% (р<0,01). After the finishing of the stress test in the female students of the main group the duration of their heart rhythm and arterial pressure reviving was (9,85±1,22) min., that overcame the result got in control group (6,24±0,67) min. Thus, the treadmill test allows exactly reveal the level of cardiorespiratory system adaptation to physical pressure, aerobic capacity in young women with the signs of idiopathic arterial hypertension.
Diagnostic and prognostic value of psoas muscle thickness and area in patients with liver cirrhosis and sarcopenia
Authors: Motsiuk V. M. , Pentiuk N. O. 
Published: January 2022

Annotation. Sarcopenia is a typical complication of liver cirrhosis (LC) and is associated with a poor prognosis. The skeletal muscle index is the most studied radiological marker of sarcopenia, but it’s using requires the qualification of a radiologist, specialized software, time reserve. The aim of the study: to investigate the relationship between different radiological markers of skeletal muscle mass, to determine their reference ranges for Ukrainian population and to assess their diagnostic and prognostic value in patients with LC. The study involved 216 healthy people and 147 patients with LC. During 18 months of follow-up 45 patients died from LC complications. Skeletal muscles were assessed by computed tomography. Skeletal muscle index (SMI), psoas muscle index (PMI), and transverse psoas muscle thickness (TPMT) at L3 were determined. Statistical data processing was performed in SPSS22. Diagnostic and prognostic value of SMI, PMI, TPMT were studied in ROC analysis. It was found that in Ukrainian population the reference ranges of SMI are >52.2 / 39.3 cm2/m2, PMI>6. 44 / 3.49 cm2/m2, TPMT>11.1 / 7.42 mm/m, in men / women, respectively. Sarcopenia was diagnosed in 54.9% and 86.3% of LC class B and C patients. PMI and TPMT had a high diagnostic value in sarcopenia detection (SMI≤52.2 and ≤39.3 cm2/m2) in male and female LC patients (AUC PMI 0.899 and 0.955, p˂0.001, AUC TPMT 0.884 and 0.942, p˂0.001). SMI, PMI and TPMT predicted one-and-a-half-year mortality in male and female LC patients (AUC SMI 0.815 and 0.786, p<0.001; AUC PMI 0.745 and 0.804, p<0.001; AUC TPMT 0.752 and 0.871, p<0.001). The optimal cut-off values for predicting death in male and female are: SMI≤49.1 and ≤38.4 cm2/m2; PMI≤5.99 and ≤3.30 cm2/m2; TPMT≤11.0 and ≤6.70 mm/m. Thus, routine assessment of PMI and TPMT in LC can identify patients with sarcopenia and high risk of complications.
Necessary diagnostic criteria of dental crowding in children during mixed dentition with different facial skeleton growth patterns
Authors: Krymovskyi K. G. , Kaniura O. A. , Kostiuk T. M. 
Published: January 2022

Annotation. Pathology of dental crowding during mixed dentition is one of the most common and difficult in the practice of dentist-orthodontist. Its prevalence, according to modern scientific data reaches 77% and occurs in all pathologies of occlusion (malocclusions). The aim of our study is to establish the relationship between the formation of dental crowding and the growth patterns of facial skeleton during mixed dentition in order to improve the effectiveness of orthodontic treatment. We used 42 pairs of plaster models and 42 slices of cone-beam computed tomography images (CBCT) for patients aged 7 to 11 years. Randomization of patients into study groups was performed according to the facial skeleton growth patterns and the Little index value. The analysis was performed by the method of variation statistics taking into account the mean values (mode, median, arithmetic mean) and mean error (M) with the assessment of reliable values by Student’s t-test, as well as determining the correlation coefficient using the Pearson pairwise method to detect connections between the obtained indicators at the minimum probability threshold p<0.05 using the statistical package EZR v. 1.35. According to the results of the examined patients: 30 people (71.4%) had a severe degree of dental crowding on both maxilla and mandible (LII> 8 mm.), more often it was associated with the neutral type of growth – 82% (with vertical – 60%). Statistically significant correlations were found between severe degree of dental crowding and vertical and neutral facial skeleton growth patterns (p<0.05). The results of the CBCT study showed that narrowing of the upper pharyngeal airway (UP) according to McNamara was more common in patients with neutral (85%) and vertical (80%) growth patterns with skeletal II and I class malocclusions according to Engle, which were 55% and 35%, respectively. The study revealed that the vast majority of children with dental crowding with different facial skeleton growth patterns had clinically significant disorders of the development of both maxillary and mandibular apical bases and airways which required immediate interceptive orthodontic treatment.
Prevalence Survey of Sexual Dysfunction among Women in the Reproductive Age Group Referred to the Islamic Azad University Hospital During 2011-2012
Authors: Amirkhani Zhila , Jangholi Ehsan , Ramezi Pariroukh , Shafiei Mahsa , Saberi Mahsa , Sadreddini Niloofar , Gheraati Sima , Yassami Sarah 
Published: January 2022

Background: Sexual dysfunctions are common and are regarded as important health problems for women of all ages with related quality of life issues. The purpose of this cross-sectional study was to explore the frequency of sexual dysfunction among women in reproductive age group referred to the Islamic Azad University hospitals.
MaterialsÂ andÂ Methods: This study was performed on married women selected by simple random sampling, aged 15-45 years who referred to Booâ€“Ali, Amir-Al-Momenin and Javaheri hospitals in Tehran, Iran from August 2011 to August 2012. Data were collected by face-to-face interview and completion of self-report questionnaires that assessed sexual functions among women in six separate dimensions. Analysis was done using Pearson correlation coefficient by SPSS 14.0; significant difference was set at 0.05.
Results: A total of 384 women with mean age of 28.6Â±7.1 years were enrolled. The mean Body Mass Index (BMI) was 27.4Â±2.6 kg/m2. Ninety-seven subjects (25.2%) had never attained an orgasm, 31 (8%) had a low level satisfactory relationship with their husband, 55(14.3%) had painful intercourse, 42(10.9%) had arousal disorder, all of which increased significantly with age (P=0.003). Female Sexual dysfunctions had a significant negative correlation with BMI (P=0.004). The emotional relationship (P=0.003) and educational level (P=0.08) were significantly associated with the Female Sexual Function (FSF) score. No significant difference was detected in marriage duration (P=0.081) and used contraception methods (P=0.081).
Conclusion: The prevalence of female sexual dysfunction including desire, arousal, lubrication, orgasm, satisfaction and pain problems increased with age and BMI. In addition, lower educational level is an associated factor that may cause sexual dysfunction. Also, emotional relationship had positive association with FSF score, while it was not associated with the use of contraceptive methods.
Identifying Factors Affecting the Pharmaceutical Supply Chain Management in Iran
Authors: Esmaeillou Yaser , Masoudi Asl Iravan , Tabibi Seyed Jamalleddin , Cheraghali Abdol majid 
Published: January 2022

Background: This study has been conducted with the aim to identify factors affecting the management of pharmaceutical supply chain in Iran. Materials and Methods: This study was of a combined(quantityâ€“quality)type. The assessment tool was a Likert scale-based five-option questionnaire. Content validity assessment was obtained at 0.89 according to the CVR, and construct validity was at 0.971 using factor analysis.KMO statistics was very high and indicative of a correlation of scale items.In terms of reliability of assessment in reÂ­searcher-made tools, the selected items were analysed, and the results obtained showed that the applied scales enjoyed significant reliability.The sample for the survey was100experts in the pharmaceutical system of the countryâ€™s Food and Drug Administration, pharmaceutical companies, technical officer of pharmacies and the ministry of health and medical education. They were selected by purposive stratified non-random sampling and snowball methods. The data was analysed by exploratory factor analysis using SPSS and LISREL. Results: The reÂ­sults of the current study indicated a pattern with significant and direct relationship between independent and dependent variables of medicine supply chain management. The most imÂ­portant indicators of medicine supply chain management in order of priority were distribuÂ­tion management with impact factor, IT management, pharmaceutical structure, pharmaceutiÂ­cal structure programming, coordination, enterprise resource planning, logistics management, knowledge management, financial management, globalization, customer relationship manageÂ­ment, and medical insurance system. Conclusions: According to the patterning indexes, it can be mentioned that the representative model has had a good fit, and a desirable compliance between a structural model with experimental data and expert opinion has been provided.[GMJ.2017;6(4):346-55] DOI: 10.22086/gmj.v6i4.869
Postsurgical seizure outcome in temporal lobe epilepsy patients with normal or subtle, nonspecific MRI findings
Authors: González Otárula Karina A. , Tan Yee-Leng , Hall Jeffery A. , Chang Edward F. , Correa José A. , Dubeau François , Sziklas Viviane , Soucy Jean-Paul , Guiot Marie-Christine , Knowlton Robert C. , Kobayashi Eliane 
Published: January 2022

OBJECTIVE
The authors’ objective was to report postsurgical seizure outcome of temporal lobe epilepsy (TLE) patients with normal or subtle, nonspecific MRI findings and to identify prognostic factors related to seizure control after surgery.

METHODS
This was a retrospective study of patients who underwent surgery from 1999 to 2014 at two comprehensive epilepsy centers. Patients with a clear MRI lesion according to team discussion and consensus were excluded. Presurgical information, surgery details, pathological data, and postsurgical outcomes were retrospectively collected from medical charts. Multiple logistic regression analysis was used to assess the effect of clinical, surgical, and neuroimaging factors on the probability of Engel class I (favorable) versus class II–IV (unfavorable) outcome at last follow-up.

RESULTS
The authors included 73 patients (59% were female; median age at surgery 35.9 years) who underwent operations after a median duration of epilepsy of 13 years. The median follow-up after surgery was 30.6 months. At latest follow-up, 44% of patients had Engel class I outcome. Favorable prognostic factors were focal nonmotor aware seizures and unilateral or no spikes on interictal scalp EEG.

CONCLUSIONS
Favorable outcome can be achieved in a good proportion of TLE patients with normal or subtle, nonspecific MRI findings, particularly when presurgical investigation suggests a rather circumscribed generator. Presurgical factors such as the presence of focal nonmotor aware seizures and unilateral or no spikes on interictal EEG may indicate a higher probability of seizure freedom.
Barriers to neurotrauma care in low- to middle-income countries: an international survey of neurotrauma providers
Authors: Mediratta Saniya , Lepard Jacob R. , Barthélemy Ernest J. , Corley Jacquelyn , Park Kee B. 
Published: January 2022

OBJECTIVE
Delays along the neurosurgical care continuum are associated with poor outcomes and are significantly greater in low- to middle-income countries (LMICs), with timely access to neurotrauma care remaining one of the most significant unmet neurosurgical needs worldwide. Using Lancet Global Surgery metrics and the Three Delays framework, the authors of this study aimed to identify and characterize the most significant barriers to the delivery of neurotrauma care in LMICs from the perspective of local neurotrauma providers.

METHODS
The authors conducted a cross-sectional study through the dissemination of a web-based survey to neurotrauma providers across all World Health Organization geographic regions. Responses were analyzed with descriptive statistics and Kruskal-Wallis testing, using World Bank data to provide estimates of populations at risk.

RESULTS
Eighty-two (36.9%) of 222 neurosurgeons representing 47 countries participated in the survey. It was estimated that 3.9 billion people lack access to neurotrauma care within 2 hours. Nearly 3.4 billion were estimated to be at risk for impoverishing expenditure and 2.9 billion were at risk of catastrophic expenditure as a result of paying for care for neurotrauma injuries. Delays in seeking care were rated as slightly common (p < 0.001), those in reaching care were very common (p < 0.001), and those in receiving care were slightly common (p < 0.05). The most significant causes for delays were associated with reaching care, including geographic distance from a facility, lack of ambulance service, and lack of finances for travel. All three delays were correlated to income classification and geographic region.

CONCLUSIONS
While expanding the global neurosurgical workforce is of the utmost importance, the study data suggested that it may not be entirely sufficient in gaining access to care for the emergent neurosurgical patient. Significant income and region-specific variability exists with regard to barriers to accessing neurotrauma care. Highlighting these barriers and quantifying worldwide access to neurotrauma care using metrics from the Lancet Commission on Global Surgery provides essential insight for future initiatives aiming to strengthen global neurotrauma systems.
Recovering from a Lumpectomy or Mastectomy
Authors: Monroe Martha C. , Shea Barbara F. 
Published: January 2022

FCS-8830, a 6-page fact sheet by M.C. Monroe and B.F. Shea, describes the recovery process for these two operations using reactions and descriptions provided by the Gainesville Breast Cancer Support Group of Florida. Published by the UF Department of Family Youth and Community Sciences, March 2009.

FCS8830/FY900: Breast Cancer: Recovering from a Lumpectomy or Mastectomy (ufl.edu)
COMPARATIVE STUDY OF PLATELET COUNT IN DIABETIC AND NON-DIABETIC GERIATRIC POPULATION
Authors: Kesharwani Ayachit , Khan Imran , Awasthi Mohit , Prasad Ravija 
Published: January 2022

Geriatric population (> 60 years) is rapidly increasing in India, It has been increased upto 8.6% in 2011. Diabetes Mellitus (DM) is a metabolic disorder and a major health problem, a?ecting a large section of the Indian population, especially as its incidence increases with advancing age. Host of complications are associated with this disease, one of which is the e?ect on platelet count. This study compares platelet count between diabetic and non-diabetic elderly. It is observed that Hyperglycaemia in diabetic persons is responsible for increased Thrombopoietin production at the cellular level, which leads to raised platelet count -Reticulated Thrombocytosis – when compared to non diabetics. Platelets, especiallyreticulated thrombocytes are associated with uncontrolled blood sugar levels in the body and are well known for their role in artherosclerotic cardiovascular disease (CVD).
Keywords: platelet count, diabetic and non-diabetic & geriatric.
Wind resistance of southern carbonate and ordinary сhernozems in agroforest landscapes of the steppe zone of Russia
Authors: Voloshenkova T. V. , Dridiger V. K. , Epifanova R. F. , Kalashnikova A. A. , Ogandzhanyan A. A. 
Published: January 2022

Relevance. The rate of destruction of chernozems in the steppe zone as a result of deflation is very high. There is a threat of their loss of the humus horizon. To optimize the complex of protective measures, it is necessary to establish the regularities of the formation of wind resistance of these soils.Methods. The seasonal dynamics of the structure of the upper layer (0–5 cm) of chernozems of the steppe zone of the Lower Volga region and the Central Pre-Caucasus in the network of forest belts is studied. The aggregate composition was determined by fractionation of an air dry sample. The wind resistance of the soil was assessed by the total content of particles with a diameter of less than 1 mm.Results. It has been established that the open surface of southern carbonate chernozems is deflationary dangerous at any time of the year. Two spraying peaks were revealed — in early spring and before harvesting grain crops. In the first period, the content of particles with a diameter of less than 1 mm was 33–47%, in the second — 60–61%. Shelter forest belts reduced soil spraying in the zone of effective influence. A change in the internal structure of the deflationally dangerous fraction was detected during the year. The disintegration of large aggregates and an increase in the volume of smaller ones were observed. By the harvesting period, the number of particles with a diameter of 0.5–1.0 mm decreased by 1.7–2.6 times compared to the spring. Number of aggregates with a diameter of 0.1–0.5 mm, most strongly blown by the wind, increased by 1.3–1.8 times. The total dispersion of ordinary chernozem is almost two times lower than that of southern chernozem. However, the amount of particles with a diameter of 0.1–0.5 mm in the deflationary dangerous fraction of southern carbonate chernozem in the spring period is 37%, during the harvesting period — 50–56%. And in ordinary chernozem, already since the spring, there are more than 55% of such particles, in the future their number increases to 60%. As a result, by the harvesting period, the danger of a fraction with a diameter of less than 1 mm becomes the same for both subtypes of chernozems. This requires adjusting the complex of protective measures.