bluuebunny/crossref_metadata_2025_split huggingface dataset:
Facility-based care of small and sick newborns: experiences with establishing a neonatal special care unit in Somaliland
Authors: Heen Espen , Størdal Ketil , Abdi Abdirashid , Walmann Frøydis V , Lundeby Karen M 
Published: March 2022

Background The goal of the United Nations is a global neonatal mortality rate (NMR) lower than 12/1000 by 2030. In stark contrast, facility-based care of small and sick newborns is limited and substandard in many low-income countries (LIC). There is a need to identify broad packages of high-quality and low-cost, sustainable interventions suitable for scale-up in fragile states and high burden countries. This article describes the process, output, and experience of establishing a neonatal special care unit (NSCU) at a governmental hospital in Somaliland. Methods We collected data from administrative documents, staff experiences, patient registries, and primary caretaker interviews covering 164 admissions through 5 months and systematized the findings within the 6 building blocks of the health care system (WHO). Results Running an NSCU in a Somali context is both possible and feasible when implementers are willing to bridge gaps on all health systems building blocks simultaneously. A verified NSCU survival rate of 85% within the first year was achieved - in line with reputable neonatal wards in the wider Eastern Africa. General caretaker satisfaction was rated as “good.” Major challenges were lack of a national regulatory framework, including an effective funding allocation; staff unfamiliarity with detailed guidelines, protocols, and job descriptions; and poor availability of medicines and other neonatal disposables. For less than US$175 in running cost per patient, including staff salaries and major equipment replacements, 75% of small and sick newborns received admission-to-discharge curative care. Public demand for facility-based newborn care was quickly growing during the implementation phase. Neonatal nurses quickly drift to nongovernmental and urban employers without a persistent and deliberate overcapacity in training courses and a strong public retention policy. A 100% service coverage in Somaliland will require dedicated wards (NSCU) with equipment at all hospitals with a labor ward, and training and deployment of about 400 neonatal nurses. Conclusions The described package of interventions may have the potential for further scale-up to district hospitals in Somaliland. Policymakers and hospital administrators should strive for a stronger national regulatory, administrative, and technical framework in neonatal curative care, facilitating the simultaneous development of all of WHO’s 6 health systems building blocks. We expect many of the findings to be transferable to the wider Somalia and other fragile LIC.
Some class of numerical radius peak $n$-linear mappings on $l_p$-spaces
Authors: Kim S. G. 
Published: March 2022

For $n\geq 2$ and a real Banach space $E,$ ${\mathcal L}(^n E:E)$ denotes the space of all continuous $n$-linear mappings from $E$ to itself.Let $$\Pi(E)=\Big\{[x^*, (x_1, \ldots, x_n)]: x^{*}(x_j)=\|x^{*}\|=\|x_j\|=1~\mbox{for}~{j=1, \ldots, n}\Big\}.$$For $T\in {\mathcal L}(^n E:E),$ we define $$\qopname\relax o{Nr}({T})=\Big\{[x^*, (x_1, \ldots, x_n)]\in \Pi(E): |x^{*}(T(x_1, \ldots, x_n))|=v(T)\Big\},$$where $v(T)$ denotes the numerical radius of $T$.$T$ is called {\em numerical radius peak mapping} if there is $[x^{*}, (x_1, \ldots, x_n)]\in \Pi(E)$ such that $\qopname\relax o{Nr}({T})=\{\pm [x^{*}, (x_1, \ldots, x_n)]\}.$In this paper, we investigate some class of numerical radius peak mappings in ${\mathcalL}(^n l_p:l_p)$ for $1\leq p<\infty.$ Let $(a_{j})_{j\in \mathbb{N}}$ be a bounded sequence in $\mathbb{R}$ such that $\sup_{j\in \mathbb{N}}|a_j|>0.$Define $T\in {\mathcal L}(^n l_p:l_p)$ by$$T\Big(\sum_{i\in \mathbb{N}}x_i^{(1)}e_i, \cdots, \sum_{i\in \mathbb{N}}x_i^{(n)}e_i \Big)=\sum_{j\in \mathbb{N}}a_{j}~x_{j}^{(1)}\cdots x_{j}^{(n)}~e_j.\qquad\eqno(*)$$In particular is proved the following statements:\$1.$\ If $1< p<+\infty$ then $T$ is a numerical radius peak mapping if and only if there is $j_0\in \mathbb{N}$ such that$$|a_{j_0}|>|a_{j}|~\mbox{for every}~j\in \mathbb{N}\backslash\{j_0\}.$$
$2.$\ If $p=1$ then $T$ is not a numerical radius peak mapping in ${\mathcal L}(^n l_1:l_1).$
A review of antibiotic synergy in carbapenemase-producing bacteria
Authors: Vamsi K. Sreeja , Moorthy S. Rama , Hemiliamma N. Mary , Reddy Y. Raja Rathna , Reddy B. Rama Chandra , Deepak J. , Sravani S. 
Published: March 2022

The problem of antibiotic resistance has garnered too much attention over the last few decades for posing a global hazard to the clinical handling and the inhibition of several deadly infections caused by bacteria. It burdens the world not only clinically but also economically... Antibiotic agents known as carbapenems are a very effective and typically designated for the treatment of multidrug-resistant (MDR) bacterial infections. To identify a suitable antibiotic combination to be used in vivo, one must be able to determine the synergism between the antibiotics in vitro. Several methods, such as the checkerboard method, multiple-combination bactericidal test, time-kill and E-test, have been used for this purpose. However, the lack of proper standardization procedures, types of bacterial agents, bacterial load, stage of infection and other factors make it very difficult to reproduce or correlate the results with other methods.Carbapenem-destroying lactases, which have recently emerged as mechanisms of resistance, are increasing in number and decreasing the treatment alternatives available. These infections are treated with colistin and tigecycline, but monotherapy may result in clinical breakdown because of a variety of factors. To control these infections, clinicians often choose combinations of drugs over monotherapy. There is an extreme lack of information on synergistic antibiotic combinations accounting for the diverse mechanisms of GNB resistance commonly encountered. The incidence of carbapenem-resistant GNB in Indian articles is also unknown. Therefore, we anticipate that this study may provide methodology for the selection of an appropriate antibiotic combination.
Effect of Mercuric Chloride (HgCl2) Stress on DNA, RNA and Enzymes Vigna mungo L. Seedlings
Authors: Mohapatra Mamata 
Published: March 2022

At elevated concentrations all heavy metals are potentially toxic. Effects of Mercuric Chloride on the morphological parameters such as DNA, RNA and Enzymes were analysed during investigation on 10th day in seedlings of Vigna mungo L., All parameters exhibited reduced trend with increase in HgCl2 concentrations when compared to control plants but the enzyme activities increased. This indicates that, the seedlings are in the process of increase in tolerance to HgCl2 treatment. Metal toxicity affects crop yields, soil biomass and fertility.
Int. J. Appl. Sci. Biotechnol. Vol 10(1): 16-20.
Nauczanie zdalne w szkole specjalnej – nowa forma komunikacji nauczyciel – uczeń
Authors: Kilar Karolina 
Published: March 2022

Pandemia COVID-19 w znaczącym stopniu wpłynęła na sposoby komunikacji międzyludzkiej i dotknęła wszystkich, w tym ludzi z niepełnosprawnością. Celem podjętych badań było poznanie opinii nauczycieli szkół specjalnych o nowej formie komunikacji z uczniami, jaką ze względu na pandemię stało się nauczanie zdalne. Zwrócono uwagę m.in. na trudności, jakie wystąpiły podczas nauczania zdalnego. W badaniu wzięło udział sześcioro nauczycieli krakowskich szkół specjalnych. W postępowaniu badawczym wykorzystano kwestionariusz wywiadu narracyjnego w opracowaniu własnym.
The Effect of COVID-19 On Education
Authors: Amat Salleh 
Published: March 2022

COVID-19 affects various aspects of human life. This presentation will focus on the impact of COVID- 19 on education in Malaysia. In general, the COVID-19 pandemic has affected the teaching and learning for students that include preschool, primary school, secondary school, and higher education. Furthermore, the assessment system, especially the national examination was affected due to this pandemic. However, indirectly, this pandemic has also helped to speed up technology in the learning process. Online learning or home learning-based (PdPR) has been introduced. However, this PdPR had a psychological impact on students and teachers. Therefore, to ensure the effectiveness of this PdPR, all parties need to understand the importance of human connection and not just focus on the internet connection alone. Finally, it is also necessary to consider the need for practical work or lab work that requires practical training. This is especially important at tertiary education for programs that involve accreditation from professional bodies. This pandemic has also provided an opportunity for teachers, parents, and the community to work together in providing social or psychological support to students to facilitate the teaching and learning process.International Journal of Human and Health Sciences Supplementary Issue: 2022 Page: S8
Forum 1: Pseudoscience in healthcare
Authors: Nordin Musa Mohd , Kheng Khor Swee , Akhter Muhammad Wajid , Mohd Haris Ahmad Firdaus 
Published: March 2022

According to the Merriam-Webster dictionary, pseudoscience is defined as “a system of theories, assumptions, and methods erroneously regarded as scientific”. In simpler terms, it is fake science made to appear like real science. Pseudoscience is rife in healthcare as it is a cash cow for unscrupulous businesses. Pseudoscience in healthcare goes hand in hand with infodemic, which according to WHO - “too much information including false or misleading information in digital and physical environments during a disease outbreak”. The trouble with pseudoscience and infodemic is ever more apparent during the COVID-19 pandemic, whereby it interferes with evidence-based methods that are implemented to combat the pandemic effectively. When the community believes in pseudoscience instead of effective public health measures such as wearing masks in public places and prevention by vaccinations, the pandemic will be difficult to control. This forum aims to explore what pseudoscience claims are being peddled in Malaysia and worldwide and how it is being dealt with. It will also explore the policies available and policies that can be structured to deal with pseudoscience in healthcare.International Journal of Human and Health Sciences Supplementary Issue: 2022 Page: S12
Risk Stratification in a Tertiary Care Spine Centre: Comparison Between STarTBack and OSPRO-YF Screening Tools
Authors: Robarts Susan , Razmjou Helen , Yee Albert , Finkelstein Joel 
Published: March 2022

Purpose: STarT Back Screening Tool and OSPRO-YF scales have been reported to be accurate tools for estimating risk for the development of persistent pain or prolonged disability in primary care settings. We performed a comparison of construct convergent and known-group validity and ceiling floor effect (CFE) of these tools using a common sample of patients seen at a tertiary care spine centre. Methods: This was a cross-sectional study of patients with and without a work-related back injury. The Hospital Anxiety and Depression Scale (HADS) was used as the reference outcome measure for convergent validity. For known-group validity, we examined the ability of the scales to differentiate between different levels of compensation, presence of non-organic signs, and work status. The CFE values were calculated. Results: Fifty consecutive injured workers were included along with 50 patients without an active compensation claim related to their low back pain. STarTBack and OSPRO-YF had moderate to high associations with the depression component of the HADS (0.69 to 0.77 respectively) with a statistically significant difference in favour of the OSPRO-YF. STarTBack's risk stratification categories were able to differentiate patients with a compensable injury, non-organic signs, and inability to work ( p values ranging from 0.002 to < 0.001). The physical activity and work fear-avoidance beliefs constructs of the OSPRO-YF consistently outperformed other yellow flag constructs ( p values ranging from 0.008 to < 0.001). The psychological sub-score of STarTBack showed a ceiling effect. There was a floor effect for the negative affect domain of OSPRO-YF. Neither total score had a floor or ceiling effect. Conclusions: STarTBack and OSPRO-YF are short screening tools with acceptable convergent and known-group construct validity and no floor or ceiling effect of their total score. Both tools could assist with the identification, evaluation, and management of psychological distress in patients presenting to tertiary care spine centres.
Analisis Permasalahan Guru SMA terkait Penggunaan Media Pembelajaran Biologi Selama Proses Pembelajaran Berbasis Hybrid Learning di Kabupaten Bone Bolango
Authors: Akbar Muh. Nur , Dama Lilan , Ibrahim Mohammad Andre , Mabuia Siti Ainun , Uno Anisa Handani 
Published: March 2022

Penelitian ini bertujuan untuk mengungkap permasalahan yang dialami guru SMA dalam menggunakan media pembelajaran biologi selama proses pembelajaran Hybrid berlangsung di SMA yang berada di Kabupaten Bone Bolango, Provinsi Gorontalo. Penelitian ini merupakan penelitian deskriptif kualitatif yang dilaksanakan di SMA Negeri 1 Tapa, SMA Negeri 1 Suwawa dan SMA Negeri 1 Kabila. Teknik pengumpulan data yaitu menggunakan metode wawancara dengan guru dan observasi kegiatan pembelajaran di kelas. Hasil penelitian meunjukkan bahwa guru mampu mengoperasikan media pembelajaran dengan baik hanya untuk siswa yang mengikuti pembelajaran secara tatap muka sedangkan untuk pembelajaran yang berlangsung secara daring, guru mengalami kesulitan. Kusilitan guru menggunakan media pembelajaran dalam proses Hybrid Learning dipengaruhi oleh kurangnya pemahaman guru terkait pemanfaatan media pembelajaran untuk dapat dioperasikan baik secara daring maupun tatap muka, penggunaan media pembelajaran yang bersifat konvensional dan tidak ditunjangnya fasilitas yang memadai untuk menjalankan proses pembelajaran secara Hybrid Learning. Adapun kesimpulan penelitian ini memberikan rekomendasi terkait pemanfaatan media pembelajaran yang terintegrasi dengan teknologi dan dapat digunakan baik secara tatap muka maupun virtual agar guru dengan mudah mengoperasikan dapat dengan mudah memanfaatkan media pembelajaran dan memberikan pemahaman yang sama baiknya bagi siswa dan memberikan pelatihan kepada guru untuk teknis pelaksanaan proses pembelajaran secara Hybrid Learning.
IMPLEMENTATION OF CONTINUING MEDICAL EDUCATION OF PHYSICIANS ON THE TREATMENT OF PATIENTS WITH CORONARY ARTERY DISEASE AND COMORBIDITIES
Authors: Lasytsia T. S. , Moroz G. Z. , Hidzynska I.M. 
Published: March 2022

Objective: to evaluate current approaches to the training of physicians on comorbidity and multimorbidity and to develop and implement a training module “Comorbidity in patients with coronary artery disease: current approaches to treatment” in the Training Center "Institute of Postgraduate Education" of the State Institution of Sciences “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department (SIS “RPC PCM” SAD).
Material and methods. We carried out an analysis and generalization of recent publications on the topic of the management challenges in patients with coronary artery disease and comorbidities and review the literature focusing on postgraduate training of medical doctors in the area of multimorbidity After the implementation of the training module we made a survey of 60 physicians on their assessment of the information provided.
Results and discussion: Current scientific research substantiates the feasibility of introducing both face-to-face trainings and master classes, as well as distance learning to optimize the training programmes for doctors in managing patients with multimorbidity and comorbidity. We developed and implemented a training module “Comorbidity in patients with coronary artery disease: current approaches to treatment” in the Training Center "Institute of Postgraduate Education" of SIS “RPC PCM” SAD. We identified major theoretical issues and practical skills that should be acquired by the physician, we worked out the methodology for presenting information during full-time and distance learning. The educational process includes lectures (including the use of distance learning), and a workshop format and master classes with the analysis of specific clinical cases.
Conclusions: 97.1% of respondents rated positively the implementation of continuing medical education on the topic of coronary artery disease management in patients with comorbidities with the use of distance learning and the appliance of master classes with the analysis of clinical cases. Optimal educational format is a significant issue which needs further research. Any training on the management of multimorbidity in practice must be outcome-oriented, in order to change practice and improve clinical outcomes for complex patients.
CLINICAL AND EPIDEMIOLOGICAL FEATURES OF ENT PATHOLOGY IN CHILDREN
Authors: Zaidov E.Y. 
Published: March 2022

Relevance. The insufficiency of studies on the field study of the structure and level of ENT morbidity, which affects the quality and life expectancy of a person in all social and age-sex groups of the population, indicates the relevance of this work.
Purpose of the study A retrospective analysis of the indicators of the appealability of pediatric patients with ENT pathology.
Material and research methods. In accordance with the set goal and objectives, the study was conducted in the period 2015-2019. An assessment was made of the condition of the ENT organs in children.
Results of researches. The obtained data of statistical analysis confirm the high incidence of patients with allergic and catarrhal rhinitis, chronic pharyngitis, sinusitis, inflammatory diseases of the tonsils and adenoid vegetations, etc. Along with the high prevalence of adenoid vegetations, an increase in chronic rhinosinusitis was also observed. On average for 5 years, such diseases of the paranasal sinuses as acute rhinosinusitis 20.7±1.40% and chronic rhinosinusitis 7.8±0.93% prevail. At the same time, the prevalence of injuries to the bones of the nose and nosebleeds decreased during the study period. The data obtained determine the need for timely detection of diseases of the upper respiratory tract in children at the early stages of their development and the organization of measures for systematic dispensary observation.
Conclusions.

The pathological incidence of ENT diseases in children, being high, nevertheless does not exceed the similar indicators recorded at the final stage of the research.
In the structure of ENT pathology of preschool age, the leading place belongs to diseases of the ear.
Considering that the lowest prevalence rates of ENT diseases fall on the last year of observation, further reorganization of ENT care for the children's population and periodic preventive medical examinations with the involvement of certain individuals in medical examinations are necessary.
ANALISIS PERBEDAAN TINGKAT LITERASI KEUANGAN PELAKU UKM
Authors: Hasibuan Lailan Safina , Handayani Susi , Bismala Lila 
Published: March 2022

Financial management is one of the main problems in SMEs because if financial management does not go well, it will hamper performance and gain access to financing. Financial literacy becomes very important in financing decisions and their subsequent performance. Financial literacy enables entrepreneurs to manage risk through strategies, such as maintaining financial reserves, diversifying their investment portfolios and purchasing insurance. The purpose of this study was to determine the level of financial literacy of SME actors and to compare financial literacy between male and female SME actors. Data collection was carried out using a questionnaire to SME actors, with a sample of 384 SME actors in the culinary field. The results showed that the financial knowledge, financial attitudes and financial behavior of SME actors were good, meaning that they were able to carry out financial management well. Meanwhile, there are differences in financial knowledge and financial behavior between male and female SME actors, but the financial attitudes between male and female SME actors do not show any difference.
Respon Broiler Terhadap Penambahan Daun Mint (Mentha piperita L.) Fermentasi Dalam Air Minum
Authors: Fajri Rahmad , Osseta Amelia , Aisyah Siti , Fitri Emilia , Ramayanti Putri Retno , Fati Nelzi , Malvin Toni 
Published: March 2022

Penelitian ini bertujuan untuk mengetahui efek penambahan mint (Mentha piperita L) fermentasi terhadap performa broiler meliputi pertambahan bobot badan, konsumsi ransum dan konversi ransum. Subjek penelitian adalah DOC broiler tanpa pemisahan jenis kelamin berjumlah 100 ekor. Rancangan yang digunakan adalah rancangan acak lengkap yang terdiri dari 5 perlakuan dan 4 ulangan. Setiap pengujian terdiri dari 20 ekor. Perlakuan adalah: A0 = tanpa penambahan daun mint (Mentha piperita L) fermentasi , A1 = penambahan 0,3% daun mint (Mentha piperita L) fermentasi/liter air minum, A2 = penambahan 0,6 % daun mint (Mentha piperita L) fermentasi/liter air minum, A3 = penambahan 0,9% daun mint (Mentha piperita L) fermentasi/liter air minum, A4 = penambahan 1,2% daun mint (Mentha piperita L) fermentasi/liter air minum. Variabel yang diukur adalah pertambahan bobot badan, konsumsi ransum dan konversi ransum. Hasil penelitian menunjukkan bahwa tidak ada pengaruh (P>0,05) penambahan daun mint (Mentha piperita L) fermentasi/liter air minum terhadap performa meliputi pertambahan bobot badan, konsumsi ransum dan konversi ransum. Penambahan 0,3 % daun mint (Mentha piperita L) fermentasi/liter air minum memberikan kinerja yang lebih baik.
DAMPAK NILAI PERUSAHAAN AKIBAT PENGARUH MANAJEMEN PAJAK DAN LINDUNG NILAI TERHADAP KINERJA KEUANGAN
Authors: Rahmanto Basuki Toto , Mariah Mariah 
Published: March 2022

The company carries out tax management and hedging strategies to improve the company's performance in increasing company value. This study aims to determine whether tax management and hedging have an effect on firm value by mediating financial performance variables. The use of mediating variables is expected to be a research novelty. The research population is banking sector companies listed on the Indonesia Stock Exchange. The sampling technique used purposive sampling of banking companies listed on the Indonesia Stock Exchange for the period 2016 to 2020. The statistical method used in this study is multiple linear regression analysis and path analysis. The results showed that tax management had no effect on financial performance, hedging had no effect on financial performance, tax management had no effect on firm value, hedging and financial performance had no effect on firm value, and tax management and hedging had no effect on firm value through financial performance
Keywords: tax management, hedging, financial performance