bluuebunny/crossref_metadata_2025 huggingface dataset:
Bradbury’s Little Philosophies: Enhancing Middle and High School Literacy with the Thematic Analysis Model
Authors: Jaynes Mark
Published: September 2023

In its measurement of American students over the last thirty years, the National Assessment of Educational Progress has shown that performance related to reading comprehension and literacy continues to decline, with nearly a third of students now failing to meet basic literacy proficiency. This article proposes a new model for thematic analysis to improve literacy-based outcomes amongst intermediate and secondary students. Through an examination of five Ray Bradbury short stories, the author shows how this model can be used to move students beyond literal comprehension while enhancing their ability to skillfully analyze and interpret the subtextual elements of stories in order to create thematic statements that reveal the hidden meaning of a text.
Utility of Psychological Pain Measurement as a Population Health Risk Stratification Tool
Authors: Mee Steven , Cascio Marissa , Reist Christopher
Published: September 2023

The goal of this review is to highlight the maturation of psychological pain as a novel mental health construct and propose an immediate clinical application for informing risk prediction and need-based stratification within complex heterogeneous psychiatric populations. This comes at a moment when prediction and prevention strategies specific to negative clinical outcomes in common mental disorders has not kept pace with other medical morbidities. Technological advances in next generation risk stratification methodologies utilizing genomics, neuroimaging, and biomarkers continue to yield encouraging progress to bridge this gap. As these technologies gradually reach performance and cost-basis milestones to allow broad adoption, readily available and validated psychometric assessment methodologies may assist in meeting the urgency of the moment while presenting highly favorable cost/benefit ratios. While previously studied primarily as an indicator of suicide risk, psychological pain is now recognized to be an important element across multiple psychiatric disorders. When systematically assessed at point of treatment entry, it can identify individuals with enhanced symptom acuity who are at increased risk for treatment failure, treatment dropout, suicide and various other negative clinical outcomes. Data exploring the predictive value of stratifying substance abuse patients by psychological pain yielded significant information specific to risk for dropout (treatment failure) and likelihood of future suicide events in depressive clinical populations months and even years prior to the clinical events. This information, available at treatment outset, can be utilized to improve the precision and effectiveness of resource allocation as well as provide the option to focus high intensity clinical interventions on an individualized basis which otherwise would be impractical if applied equally to the general population. Suggested strategies applying this approach to depressed and substance abusing treatment populations are described.
Evaluating Performances of Attention-Based Merge Architecture Models for Image Captioning in Indian Languages
Authors: Tangsali Rahul , Chhatre Swapnil , Naik Soham , Bhagwat Pranav , Kale Geetanjali
Published: September 2023

Image captioning is a growing topic of research in which numerous advancements have been made in the past few years. Deep learning methods have been used extensively for generating textual descriptions of image data. In addition, attention-based image captioning mechanisms have also been proposed, which give state-ofthe- art results in image captioning. However, many applications and analyses of these methodologies have not been made in the case of languages from the Indian subcontinent. This paper presents attention-based merge architecture models to achieve accurate captions of images in four Indian languages- Marathi, Kannada, Malayalam, and Tamil. The widely known Flickr8K dataset was used for this project. Pre-trained Convolutional Neural Network (CNN) models and language decoder attention models were implemented, which serve as the components of the mergearchitecture proposed here. Finally, the accuracy of the generated captions was compared against the gold captions using Bilingual Evaluation Understudy (BLEU) as an evaluation metric. It was observed that the merge architectures consisting of InceptionV3 give the best results for the languages we test on, the scores discussed in the paper. Highest BLEU-1 scores obtained for each language were: 0.4939 for Marathi, 0.4557 for Kannada, 0.5082 for Malayalam, and 0.5201 for Tamil. Our proposed architectures gave much higher scores than other architectures implemented for these languages.
Integration of clinical research and medical care, slow but continuing effective future
Authors: Wandile Pranali M.
Published: September 2023

The demarcation between research and medical practice appears partly blurred as they often coexist together while still having significant differences between them. The prospective complete merger still seems to have a bright future that could benefit humankind. The goal of medical practice is to provide the diagnosis, palliative or curative therapy, preventative therapy and the term "research" is recognized as a pursuit to investigate a hypothesis and pull conclusions to develop the theory or contribute to generalizable knowledge. A clinical trial is usually described as a clinical research study protocol with certain objectives and steps to accomplish those objectives. Integrating evidence-based medicine in medical practice requires combining patient-targeted treatment and research and overcoming all possible methodological, organizational, and cultural challenges while integrating the teaching healthcare system.
Residuos de construcción y demolición como materia prima de concretos y elementos de construcción obtenidos mediante activación alcalina
Authors: Mejía-de-Gutiérrez Ruby , Robayo-Salazar Rafael , Valencia-Saavedra William
Published: September 2023

El cemento Portland (OPC) es el cementante comúnmente utilizado en la producción de concreto. Sin embargo, su uso se ha cuestionado por el excesivo consumo energético y de recursos naturales, y por las elevadas emisiones durante su proceso de producción. Por otra parte, el sector de la construcción también contribuye al impacto ambiental con la generación de residuos de construcción y demolición (RCD) que no están siendo aprovechados. Ello ha motivado el desarrollo de cementantes alternativos de menor huella de carbono y la reutilización de los RCD para dar cumplimiento a los Objetivos de Desarrollo Sostenible (ODS) y a los principios de economía circular. Se demuestra aquí la viabilidad de producir concretos de naturaleza híbrida activados alcalinamente a partir de la mezcla de polvos provenientes de la trituración de los RCD. Se emplearon dos tipos de activadores alcalinos, NaOH+Na2SiO3, y Na2SO4, con una proporción de OPC de 10 y 30 %, respectivamente. Para el aprovechamiento integral de los RCD, en las mezclas el 100 % de los agregados eran reciclados. Los concretos diseñados cumplieron las resistencias mecánicas requeridas por la norma sismo resistente NSR-10, lo que los clasifica como de tipo estructural. Además, su potencial de calentamiento global (PCG) fue hasta un 68 % inferior al de un concreto de igual especificación basado en OPC. Los concretos obtenidos se utilizaron en la producción de elementos prefabricados, tales como bloques macizos y bloques de perforación vertical y adoquines, que satisfacen las especificaciones requeridas en las normas técnicas colombianas.
Assessment of Cytotoxic Effects of Latex from Cascabela thevetia (L.) Lippold and Plumeria alba L. via In vitro and In silico Approaches
Authors: Rajhans Sanjukta , Pandya Himanshu , Prasanth Kumar Sivakumar , Bhadresha Kinjal , Yadav Deep Kumari , Rawal Rakesh , Ansari Hafsabanu , Dave Ridham , Sindhav Gaurang
Published: September 2023

Plant latex has been found to occur in more than 40 families and among them, Apocynaceae is one. Two plants of this family i.e., Cascabela thevetia (L.) Lippold and Plumeria alba L. had been chosen for the current experimental work. The aqueous and methanolic latex extracts were evaluated for their phytochemical constituents and cytotoxic activities. To determine the cytotoxic effects of the latex extracts, MTT [3-[4,5-dimethylthiazol-2-yl]-2,5- diphenyltetrazolium bromide] assay was performed by using cell lines A549 Human Lung Cancer and MCF-7 Human Breast Cancer. Further, for confirmation of the cytotoxic effects apoptosis assay was conducted. The richness of the latex extracts was determined by GC-MS and HPTLC methods. The preliminary phytochemical analysis of the latex extracts was conducted using GC-MS methodology. The presence of cardiac glycosides was analyzed using High-Performance Thin Layer Chromatography. Here, Digoxin was used as the standard. Studies have revealed that Na+ K+-ATPase can serve as a powerful target for developing anticancer drugs and cardiac glycosides have exhibited anticancer effects via inhibition of the Na+ K+-ATPase. Hence, molecular docking studies were conducted in which 6KPX served as the target and the compounds evaluated by the NIST library in GC-MS served as the ligands. Further, Molecular docking studies confirmed the best among the compounds based on their RF score, binding affinity, and as a binder whether these compounds were good or bad. These methodologies altogether helped in evaluating the richness of the plant latex extracts, and the potent cytotoxic molecules present in them.
Green Synthesis of Silver Nanoparticles using Lantana camara Leaves Extract and In Vitro Evaluation of Oral Anti-cancer Activity
Authors: Kumararaja Gayathri , Praveena G. , Raja M. , Poovarasu P. , Prakash R. , Prasana R. , Princeton R. , Priya S.
Published: September 2023

At present, green synthesized based drug delivery systems play a major role in the bio medical field. Lantana camara, also known as Unni chedi in Tamil, is an evergreen shrub that is involved in a variety of cancer diseases due to its pharmacological activity. In addition, the leaf extract of Lantana camara was found to have excellent anti cancer activity. The green synthesized AgNPs of Lantana camara leaves extract were more efficient against oral cancer. In this report, green synthesized nano-formulations in presence of AgNPs were formulated. The as prepared formulation was confirmed by UV spectroscopy, particle size and zeta potential, Scanning Electron Microscopy (SEM). In UV Spectroscopy the absorbance of the peak appears between the range of 200 to 300 nm corresponding to the formulation of AgNPs. The Zeta potential shows high colloidal stability; the average potential value is -12.6mV. The particle size results shown that the average size of AgNPs is 268.1 nm. The morphology and particle size determined using SEM analysis indicate spherical shaped particles. Further, the oral anti-cancer activity was evaluated on Squamous Cell Cancer (SCC-25) cell line. The cell line result shown is that the IC 50 value for AgNPs was 39µg/ml and the plant extract shown 145µg/ml, this indicates that the silver nanoparticles have more potential when compared to the leaf extract.
An Updated Review on Medicinal Plants with Hepato-protective Activity
Authors: Janve Yash , Kakadiya Jagdish , Raja Mohan
Published: September 2023

Many precious medicines from traditional medicinal plants can be produced using a phototherapeutic approach to modern drug research. Finding pure phytochemicals that can be used as medicines requires time and money. The treatment of liver problems involves the use of numerous herbs and polyherbal mixtures. However, the treatments are ineffective in the majority of severe instances. Even though many of these plants and mixtures were subjected to experimental evaluations, the research was frequently insufficient and uncompleted. It was found that the therapeutic effects were evaluated in animals with subclinical liver damage brought on by a few substances. Antioxidants included in common foods can offer this kind of defence against liver damage brought on by hazardous substances’ oxidative processes. Therefore, hepato-protective natural products such as Phyllanthus amarus, Silybum marianum, Solanum nigrum, Tephrosia purpurea, Eclipta alba, Cichorium intybus, Phyllanthus Niruri, Centella asiatica, Capparis spinosa, Terminalia arjuna, Cassia occidentalis, Fumaria parviflora, Embelia ribes, Boerhaavia diffusa, Tamarix gallica, Achillea millefolium, Terminalia chebula, Ocimum sanctum, Glycyrrhiza glabra, Foeniculum vulgare, Garcinia mangostana, Acacia Catechu, Pergularia daemia, Annona squamosa, Flacourtia indica. The goal of the current review is to gather information on promising phytochemicals from medicinal plants that have been evaluated in hepatotoxicity models utilising cutting-edge scientific methods.
Cerebral Venous Sinus Thrombosis (CVST) as a Rare Presentation of a Brain Hydatid Cyst: A Case Report
Authors: Kaeedi Maryam , Kaeidi Hosein , Shahbazi Mojtaba , Havadaragh Sanaz Heydari , Amirifard Hamed
Published: September 2023

Cystic hydatidosis is a rare zoonotic condition caused by the larva of the Echinococcus tapeworm. In this disease, brain involvement is a rare condition, accounting for about 2-3% of all cases with hydatid disease. Focal deficits, symptoms of increased intracranial pressure, seizure and mental state changes are most common presentations of CNS cystic echinococcosis. We present a young woman with resistant headache and transient visual obscurations due to increased intra-cranial pressure caused by Cerebral venous sinus thrombosis (CVST) arising from a Hydatid cyst. To the best of our knowledge, this is the first report of hydatid cyst induced CVST. Our case report highlights the importance of considering CVST as an unavoidable complication of brain’s space occupying lesions and especially infective ones as a differential diagnosis.
The Use of Discriminatory Function on the Early Expectation of Corporate Financial Bankruptcy: Listed Firms on the Tehran Stock Exchange.
Authors: Faysal Saad Raad
Published: September 2023

The purpose of this paper is to investigate the accuracy of the discriminant function in the process of predicted financial failure before it occurs. Using the economic definition (profit and loss) and on this basis, the companies have been classified as a failure and Non-failure for three consecutive years. This paper also tries to discover when bankruptcy phenomenon. Therefore, the multi-step analysis was used to achieve this purpose to shed more light on the validity of the discriminant function in the forecasting process with different locations and different economic sectors except for the financial sector of the listed firms in Tehran Stock Exchange during 2016-2018 with the companies traded 101 companies classified to 11 failure companies And 90 non-failure companies with 25 ratios listed under the title of liquidity, solvency, activity and profitability, and comparing the results for three years. In the end, this paper found the success of The Discriminant function in predicting financial failure for all years of study, In other markets to predict financial position. The sample belonging to the Tehran Stock Exchange (TSE) showed that the financial ratios affecting the formation of the legal discriminatory function (model) were different from year to year. The final financial position of companies that lost three consecutive years was also explained by comparison with 2019, Bankruptcy phenomenon of 64% of financially failed companies (losers).
Research on Factors Affecting the 3D Jelly Cakes Demand of Hanoi Customers
Authors: Thi Van Anh Nguyen , Ngoc Tam Nhu Bui
Published: September 2023

The study analyzes some factors affecting Hanoi consumers' demand for 3D jelly cake. Based on the theory of commodity demand, the research team conducted a survey and collected answers from 308 consumers on some factors affecting 3D jelly cake demand. The synthesis and analysis of survey data indicated that the demand for 3D jelly cakes of Hanoi consumers is influenced by many factors such as the price of the product, tastes, prices of substitutes, and complementary goods...In addition, the research team also considered the advantages of 3D jelly cake compared to other products, as well as discussed some solutions to stimulate consumer demand with this new and aesthetic product.
Assesment of Boron in Soil, Plant and Irrigation Water under Cotton-wheat Cropping System of Northern India
Authors: Boparai A.K. , Chandel Rupinder
Published: September 2023

Background: The use of high yielding varieties, high analysis fertilizers and intensive cultivation has depleted the fertility of soils particularly with respect to micronutrients. The deficiency of B is expected to be high in coarse-textured soils having low organic matter, high CaCO3 and high pH. Methods: Geo-referenced surface (0-15 cm, n=155) soil samples, cotton leaves at pre flowering stage (n=75), wheat flag leaves (n=80) and tube well water (n=75) samples were collected from Bathinda, Mansa and Mukatsar districts of Punjab. Result: About 5, 18 and 20 per cent of soil, cotton and wheat samples were deficient in B, respectively. Hot water soluble B in soil was significantly positively correlated with pH (r= 0.230*), ESP (0.680**), B concentration in leaves of cotton (r=0.259*) and wheat (r=0.531**) but negatively with CaCO3 in soil (r= -0.210*). About 40 per cent of tubewell waters had greater than 2.0 mg B l-1. On an average, one cm ha of tube well water may add up to 93g B ha-1 to soil.
Applications of Plant Growth Promoting Bacteria (PGPB) and Vesicular Arbuscular Mycorrhizal (VAM) Fungi on Aloe barbadensis Mill., a Medicinally Important Succulent Herb
Authors: Dey Shinjan , Choudhury Debapriya , Mukherjee Chandrama , Dutta Sikha
Published: September 2023

Background: Application of biofertilizers is an appropriate replacement of harmful chemical fertilizers to fulfil the rising demands of herbal medicine. The main objective of this study was to establish a potent biofertilizer with the help of microbial consortia and observe their effects on the primary growth of Aloe barbadensis Mill. Methods: Rhizospheric soil of the plant Aloe barbadensis Mill. was taken and isolation, characterization and identification of the vesicular arbuscular mycorrhiza (VAM) fungi, rhizospheric bacteria and the VAM fungal spore associated bacteria was done. To check the microbial effects on morphological parameters of the plant, a total number of eight experimental sets were prepared by using different microbial strains. Result: In our experiment, VAM+ABM1 treated plant set showed the significant responses in plant primary growth which can be used as a potent biofertilizer in more sustainable way.
Effect of Different Levels of Sodicity on Soil Enzymes, Soil Microbial Biomass Carbon and Activity of Antioxidant Enzymes in Different Rice Varieties under Semi-arid Conditions
Authors: . M.Surya , . M.Baskar , Meena S. , Janaki D. , Geethanjali S. , Sundar M.
Published: September 2023

Background: Soil sodicity is a major abiotic stress for crop production in many parts of the world. Soil enzymes have been proposed as potential indicators of soil quality due to their connection to soil biology, ease of measurement and quick responsiveness to changes in soil management. Concerning that how different levels of sodicity affects the activity of soil enzymes, soil MBC and antioxidant enzymes in different rice varieties will promote us to understand the mechanism behind the tolerant varieties and to find out the ways to improve the tolerance mechanism. Methods: A field experiment was conducted at Anbil Dharmalingam Agricultural College and Research Institute, Tiruchirappalli, Tamil Nadu during late samba season. Different rice varieties viz., TRY 1, CO 43, TRY 2, CSR 27, TRY 3 and white ponni (WP) were grown at different levels of Exchangeable Sodium Percentage (ESP) ie., 8, 16, 24, 32, 40 and 48 under field condition. The soil samples were collected at flowering stage and analyzed for urease, alkaline phosphatase (APH), dehydrogenase (DHG) and soil microbial biomass carbon (MBC). The plant samples collected at flowering stage were examined for activity of antioxidant enzymes like catalase (CAT), peroxidase (POX) and superoxide dismutase (SOD). Result: The growth and yield decreases with increasing sodicity levels. The soil enzyme and microbial biomass carbon found to be decreased with increasing ESP levels. The antioxidant enzyme increases with increase in sodicity levels in tolerant varieties and decreases at high ESP levels in susceptible varieties. Overall TRY 3 outperformed under increasing sodicity levels compared to other varieties.
Cubanidad, exiliado y artista en La memoria del agua de Héctor Santiago
Authors: Noa Bela Charles Didier
Published: September 2023

El artículo investiga sobre la cuestión de la cubanidad vinculada con la figura del exiliado o artista como condición de vida que establece la conciencia geográfica y fronteriza. Teóricamente, interpretamos La memoria del agua de Héctor Santiago a partir de la modalidad transcultural de Ortiz (Contrapunteo), la localización epistemológica de Mignolo (La idea) y la conciencia fronteriza de Anzaldúa para mostrar cómo la cubanidad del exiliado trata de configurar la conciencia geográfica y la lógica de la frontera. Notamos que el personaje santiaguero existe como exiliado y como escritor, ya que vive la triple condición existencial de la jaula, huida y retorno. Esto hace de La memoria del agua el lugar y el tiempo representativo de la cubanidad. Se descubre que la cubanidad se basa en la actitud consciente del exiliado, cuyo propósito es establecer la existencia de una conciencia geográfica que incluya la de la frontera.
Embodied Femininities in Language Pedagogy. A Study of Two Language Teachers’ Experiences
Authors: Camargo-Ruiz Karen Tatiana , Aponte-Moniquirá Daniel
Published: September 2023

Gender studies have become relevant for English language teaching and initial teacher education. This study uses a narrative inquiry approach to inspect two language teachers’ life stories in an initial teacher education program. We document how their femininities and identities are embodied through their language pedagogy since it is a praxis that allows resistance and resurgence against paradigms that limit their identities. Findings reveal that femininities provide a broader spectrum of individual gender realities and constructions. Teachers’ femininities are embodied in teachers’ practices. This is why some traits of these embodiments can be related to hegemonic aspects of gender, without this necessarily meaning that there is no resistance in the pedagogical field. On the contrary, it shows the capacity to redefine these attitudes that, from the pedagogical perspective, resist the hegemony of teacher gender identity.
The Issue of Readability in the Chilean EFL Textbook
Authors: Carcamo Benjamin
Published: September 2023

At the end of high school in Chile, it is expected that students achieve a B1 English language proficiency level. In the present article, we measure the level of readability of the texts used in the new EFL Chilean textbook and compare it with the readability level of the texts used in the Cambridge B1 preliminary exam to check its appropriacy. The results reveal that, even though the classic readability indices show a similar level of difficulty in the texts, the index RDL2, which is specific for second language learning, shows that there is a statistically significant difference. This finding indicates that the texts in the Chilean EFL textbook are more difficult to read than the ones students are supposed to read. Implications at a local and international level are then shared.
What is Russian patriotism and how to explain it to students
Authors: Zhukov Vadim N.
Published: September 2023

The article discusses the most essential feature of Russian patriotism in contrast to its Western understanding and analyses some aspects of pedagogical practice in dealing with this topic with students.
Effectiveness of Neuropsychological Rehabilitation in the Recovery of Executive Deficits in Patients with Alcohol Use Disorder: A Systematic Review Protocol
Authors: Ferreira Sónia , Virgolino Ana , Ribeiro Cristina , Pombo Samuel , Bacelar-Nicolau Leonor
Published: September 2023

Introduction: Changes in executive functions associated with alcohol consumption are frequently found in alcohol use disorder. Neuropsychological rehabilitation can play an essential role as an effective treatment in the recovery from these deficits, leading to the maintenance of abstinence. However, there are still some uncertainties regarding its impact on the recovery of deficits in executive functions. Our purpose is to present a protocol for a systematic review aiming to assess which neuropsychological rehabilitation programs are effective in the recovery of executive deficits in patients with alcohol use disorder.Methods: We will search the following databases: PubMed, Cochrane Library (CENTRAL), Web of Science, and Scopus, as well as the list of references of the identified studies. Screening, data extraction, and synthesis, as well as evaluation of the risk of bias, will be carried out by two reviewers independently, using ROBINS-I and RoB 2. Disagreements will be resolved using a third additional reviewer. Primary outcomes will correspond to changes in executive functions, following a neuropsychological rehabilitation program in patients with alcohol use disorder. The evidence will be synthesized using a narrative description of neuropsychological rehabilitation programs and the indicators of their effectiveness will be identified. The neuropsychological rehabilitation programs for executive functions will be assessed considering their different components and their impact on the recovery of these functions. The review described in this protocol will allow the development of guidelines for the design of more effective rehabilitation programs for clinical populations with alcohol use disorder.
Kajian Camilan Tortilla Chips dari Formulasi Tepung Jagung dan Tempe untuk Pencegahan Stunting
Authors: Indriyani Reni , Novika Yulia , Lupiana Mindo , Wahyuni Endang Sri
Published: September 2023

Latar Belakang: Masalah gizi selama hamil dapat berpengaruh pada kesehatan ibu dan janin. Stunting merupakan kekurangan gizi kronis yang harus segera ditangani. Salah satu produk pangan yang dapat diberikan pada ibu hamil dan anak balita bernilai gizi tinggi terutama kandungan protein dan kalsium adalah produk tortilla.
Tujuan: Mengetahui formula tempe dengan tepung jagung pada produk tortilla chips untuk meningkatkan nilai protein dan kandungan kalsium.
Metode: Penelitian eksperimental penambahan tempe dan tepung jagung pada Camilan tortilla chips. Teknik yang digunakan adalah Rancangan Acak Kelompok dengan 5 formula penambahan tempe F1=0%, F2=10%, F3=20%, F4=30%, F5=50%, dengan lima kali ulangan. Pengamatan meliputi penilaian organoleptik dan analisis laboratorium, selanjutnya analisa data menggunakan jenis parametrik uji ANOVA nilai α=0,05 dengan uji lanjutan Uji BNT. 
Hasil: Pengujian organoleptik BNT, F2 formulasi terbaik dalam hal warna (3,69) dan penilaian parameter sensori secara keseluruhan (3,71). F3 formulasi terbaik berdasarkan uji organoleptik aroma (3,72) dan rasa (3,72). F5 formulasi dengan uji organoleptik tertinggi untuk tekstur (4,05) dan kandungan protein serta kalsium tertinggi.  Penambahan tempe pada produk tortilla chips yang paling disukai pada formulasi 10%. Uji ANOVA menunjukkan adanya perbedaan bermakna pada uji organoleptik warna (0,001), tekstur (0,02), aroma (0,001), rasa (0,001), penilaian parameter sensori secara keseluruhan (0,001), protein (0,001) dan kalsium (0,02).
Kesimpulan: Terdapat perbedaan signifikan rata-rata penilaian organoleptik pada warna (F2=3,69), tekstur (F3=3,61), aroma (F3=3,72), rasa (F3=3,94) dan penilaian tingkat kesukaan berbagai formula tortilla chips dengan formula tortilla chips terbaik pada F2.
Pengaruh Media Sosial terhadap Konsumsi Frozen Food di Masa Pandemi COVID-19
Authors: Lestari Puji , Rachmawati Farida
Published: September 2023

Latar Belakang: Pandemi COVID-19 memberikan dampak besar pada kehidupan masyarakat di Indonesia. Adanya  Pemberlakuan Pembatasan Kegiatan Masyarakat (PPKM) menyebabkan kegiatan masyarakat berbasis daring (dalam jaringan). Hal tersebut berdampak pada penggunaan media sosial sebagai media komunikasi dan informasi setiap individu. Paparan media sosial ini juga akan berefek pada perubahan perilaku masyarakat salah satunya adalah perilaku konsumsi. Guna memenuhi kebutuhan konsumsi selama pandemi, frozen food menjadi pilihan alternatif yang mana lebih praktis, dan higienis.
Tujuan: Penelitian ini bertujuan untuk melihat pengaruh media sosial terhadap konsumsi frozen food di masa pandemi COVID-19.
Metode: Desain penelitian adalah cross-sectional, populasi adalah mahasiswa dosen dan karyawan di UIN Walisongo, sampel penelitian sebesar 212 orang dengan teknik pengambilan sampel purposive sampling. Pengambilan data penggunaan media sosial menggunakan kuesioner dan konsumsi frozen food menggunakan Food Frequency Questionnaire (FFQ).
Hasil:  Hasil uji korelasi Spearman menunjukkan terdapat hubungan penggunaan media sosial dengan konsumsi frozen food (p=0,030 dan r=-0,149). Tidak terdapat hubungan penggunaan media massa dengan konsumsi frozen food (p=0,654 dan r=-0,031).
Kesimpulan: Terdapat pengaruh yang signifikan media sosial terhadap konsumsi frozen food, dan tidak terdapat pengaruh penggunaan media massa terhadap konsumsi frozen food.
Efektifitas Positive Deviance Hearth (Pos Gizi) untuk Perbaikan Anak Kurang Gizi di Perkotaan Surabaya, Indonesia
Authors: Sari Nur Mufida Wulan , Wangi Martina Puspa , Ayuningtyas Hasanah , Himawati Allyra , Handayani Suci , Sakinah Fitria Nurus , Kristanto Daniel Andi , Manahan Anggiat , Nugroho Andi , Sahila Nur , Frans Charles , Mahmudiono Trias
Published: September 2023

Latar Belakang: Positive Deviance Heart (PDH) berfokus pada proses yang mengidentifikasi praktik-praktik yang terjangkau, dapat diterima, dan berkelanjutan yang digunakan di masyarakat oleh sumber daya yang terbatas tersebut. Salah satu tujuan PDH adalah mencegah malnutrisi pada anak dengan mengubah norma masyarakat mengenai perilaku pengasuhan, praktik pemberian makan, dan perilaku upaya kesehatan.
Tujuan: Penelitian ini bertujuan untuk mengetahui efektifitas implementasi PD Hearth di wilayah perkotaan dengan menilai perubahan status gizi dan perubahan praktik pemberian makan anak.
Metode: Penelitian kuantitatif dengan pendekatan deskriptif analitik ini menggunakan data sekunder intervensi Pos Gizi selama tiga bulan yang dilakukan oleh Wahana Visi Indonesia. Lokasi dan partisipan ditentukan dengan metode purposive sampling. Sejumlah 29 partisipan dari tiga kelurahan wilayah Kota Surabaya terlibat dalam penelitian ini.  Dalam penelitian ini dilakukan analisis data dengan distrIbusi frekuensi, uji ANOVA, dan uji Chi Square (Convidence Interval 95%).
Hasil: Peningkatan status gizi anak pada pelaksanaan Pos Gizi di wilayah Kecamatan Simokerto terjadi pada 10,3% sasaran. Perubahan praktik pemberian makan anak pada pelaksanaan Pos Gizi tidak menunjukkan hubungan yang signifikan pada status gizi anak (p>0,05). Terdapat perbedaan perubahan Z-Score berdasarkan waktu penimbangan dengan atau tanpa mempertimbangkan pembagian kelompok usia dan lokasi tempat tinggal Balita (p<0,05).
Kesimpulan: Kegiatan Pos Gizi di Kecamatan Simokerto selama tiga bulan belum efektif dalam meningkatkan status gizi sasaran. Perubahan praktik pemberian makan anak tidak berhubungan dengan peningkatan status gizi sasaran. Berdasarkan waktu penimbangan, masa intervensi Pos Gizi memiliki peluang dalam peningkatan status gizi sasaran.
Effects of Moringa oleifera Leaf Extract on the Liver of Experimentally-Induced Diabetic Wistar Rats
Authors: Wahyu Ikhsan  , Suryono Suryono , Azham Purwandhono
Published: September 2023

Highlights:

This study examined the antioxidant flavonoid compounds derived from naturally sourced Moringa oleifera leaves.
2. Moringa oleifera leaf extract was able to prevent tissue fibrosis and liver cirrhosis in diabetic rat models through the nonalcoholic fatty liver disease (NAFLD) pathway.

Abstract:
Diabetes mellitus is known as a risk factor for nonalcoholic fatty liver disease (NAFLD) which can progress to nonalcoholic steatohepatitis (NASH) and eventually lead to hepatocellular carcinoma (HCC) through various stages, including necro-inflammatory fibrosis, cirrhosis, and hepatitis. M. oleifera leaves contain flavonoid antioxidants, which inhibit reactive oxygen species (ROS) and oxidative stress in diabetes mellitus. This study aimed to investigate the potential of M. oleifera leaf extract at a dosage of 1,000 mg/kgbw to inhibit liver tissue fibrosis in diabetic rats. This study used a true experimental method with a post-test-only control group design. This study was conducted at the Faculty of Medicine, Universitas Jember, Jember, Indonesia, from November 2021 to January 2022 on 27 male Wistar rats that were divided into three groups of nine rats. The rats were induced with streptozotocin and M. oleifera leaf extract at a dosage of 1,000 mg/kgbw. Masson's trichrome staining and the Meta-analysis of Histological Data in Viral Hepatitis (METAVIR) scoring system were used to measure liver tissue fibrosis. Data were analyzed using the Kruskal-Wallis and Mann-Whitney tests to examine significant differences between groups. The results showed a significant difference in the degree of liver tissue fibrosis between the control and diabetes groups (p=0.00) as well as the diabetes and treatment groups (p=0.003). However, the results did not show any significant differences between the control and treatment groups (p=0.270). These findings suggested that administering M. oleifera leaf extract at a dosage of 1,000 mg/kgbw can inhibit liver tissue fibrosis. In conclusion, this study provides evidence that administering M. oleifera leaf extract can inhibit liver tissue fibrosis in diabetic rats.
Stress Levels and Seborrheic Dermatitis in the Class of 2020 Medical Students at a University in Indonesia
Authors: Eldy  , Hari Darmawan
Published: September 2023

Highlights:
1. This research investigated a previously unexplored relationship between stress levels and seborrheic dermatitis in Indonesia.2. It has been shown that a significant proportion of medical students are susceptible to sleep problems, which can negatively impact their academic performance and mental health.3. This recent study found that seborrheic dermatitis affects men on average more frequently than women.
 
Abstract :
Seborrheic dermatitis is a common skin disease in the form of superficial inflammation with a papulosquamous morphology that often occurs in sebaceous gland-rich areas. Emotional stress is one of the contributing factors to the susceptibility of individuals to seborrheic dermatitis, while lack of sleep is associated with its exacerbation. This study aims to investigate the relationship between stress levels and seborrheic dermatitis cases among the class of 2020 students at the Faculty of Medicine, Universitas Tarumanagara, Jakarta, Indonesia. This study used an analytical-observational approach with a cross-sectional design. The sampling technique used was simple random sampling. The samples were from 114 medical students from the class of 2020 at Universitas Tarumanagara. The data were collected using an online Google Forms questionnaire and a dermatological assessment. The data were analyzed through statistical software, IBM SPSS Statistics for Windows, version 26.0 (IBM Corp., Armonk, N.Y., USA), using the Chi-square hypothesis test. The results showed a significant relationship between sex and seborrheic dermatitis cases (p=0.000). However, there was no significant relationship between stress levels and seborrheic dermatitis cases among the respondents (p=0.591). In conclusion, factors other than stress levels might contribute to the development or exacerbation of seborrheic dermatitis among the participants. Further research is needed to explore the potential underlying mechanisms and additional factors influencing the development and progression of seborrheic dermatitis.
Calciferol Status and Clinical Outcomes in Children with Congenital Heart Disease after Heart Surgery
Authors: Zulham Effendy  , Tri Yanti Rahayuningsih  , Fachrul Razi  , Hendra Kurniawan  , Azmi  , Marzuki Farhan , Herdianta  , Rovy Pratama
Published: September 2023

Highlights:

Calciferol has cardioprotective properties, and a severe deficiency of calciferol is associated with septic shock, a longer duration of mechanical ventilation and treatment in the intensive care unit, and mortality. 
The role of calciferol in critical conditions has been described in several research reports, but relatively little is known about its function in pediatric cardiac surgery. 

Abstract
Calciferol is a micronutrient and a secosteroid hormone that plays a role in maintaining the health of bones and soft tissues in the body, such as the myocardium, as well as the immune system. Hypovitaminosis D has been reported to be associated with poor clinical outcomes and child mortality in pediatric intensive care units. Children with congenital heart disease (CHD) are vulnerable to critical conditions and require early intervention due to heart failure. This study aimed to investigate the influence of calciferol status on the clinical outcomes of pediatric CHD patients who underwent heart surgery. A systematic literature review was conducted using the electronic databases from PubMed, Elsevier, and Cochrane. This study included observational and randomized control studies that assessed the calciferol status of pediatric CHD patients undergoing cardiac surgery. From a total of 168 studies, 8 studies were selected for review. The preoperative and postoperative calciferol status as well as clinical outcomes following pediatric cardiac surgery were reviewed. According to the findings, most pediatric CHD patients suffered from calciferol deficiency prior to corrective heart surgery, which further decreased postoperatively and was associated with clinical outcomes in the intensive care unit (ICU). Preoperative calciferol supplementation has been reported to enhance serum calciferol levels and is associated with good clinical outcomes in pediatric patients undergoing cardiac surgery.
Clinical Profiles and Il-6 Level Analysis of Critical Covid-19 Patients Receiving Lopinavir-Ritonavir
Authors: Triyono Erwin Astha , Rehatta Nancy Margarita , Nabilah  , Tan Feriawan
Published: September 2023

Highlights:1. Lymphocyte, procalcitonin, D-dimer and high IL-6 levels in COVID-19 patients are associated with a poor prognosis.2. IL-6 serial measurement for COVID-19 patients may be a potential indicator for evaluating the severity and patient outcome.
Abstract
The COVID-19 pandemic has affected over 760 million individuals worldwide, resulting in more than 6.8 million reported deaths. Early detection of patient deterioration can assist in predicting outcomes and prioritizing healthcare services based on evidence-based indicators. Interleukin-6 (IL-6) is a cytokine that plays a role in the inflammatory process, making it a potential parameter for assessing a patient's inflammatory state. This study aimed to analyze the characteristics, laboratory profiles, and IL-6 levels of COVID-19 patients. This study used a retrospective cohort study design with medical record data. The characteristics (n=68) and IL-6 levels (n=52) of the patients on the first, third, and sixth days of treatment were recorded consecutively. The mean age of the patients was 49 years, with the majority being male (72%) and the most prevalent comorbidity being hypertension (29%). The average duration of hospitalization was 10.94 days. Shortness of breath was the most commonly reported symptom (45.6%). The medians of neutrophil-lymphocyte ratio, C-reactive protein, procalcitonin, ferritin, and D-dimer were above normal. Significant differences were observed in lymphocytes (p=0.046), procalcitonin (p=0.023), and D-dimer (p=0.000) between survivor and non-survivor patients. Significant dynamic changes in IL-6 levels were observed from the first day to the sixth day (p=0.014) and from the third day to the sixth day (p=0.041). In conclusion, risk stratification, laboratory profiles, and IL-6 levels play a role in assessing the severity and outcomes of COVID-19 patients.
Maternal Deaths caused by COVID-19 Infection in the First Year of the Pandemic Wave
Authors: Muhammad Ilham Aldika Akbar  , Pungky Mulawardhana  , Manggala Pasca Wardhana  , Khanisyah Erza Gumilar  , Ecccita Raheestyningtyas  , Muhammad Ardian Cahya Laksana  , Jimmy Yanuar Anas  , Ernawati  , Joewono Hermanto Tri , Muhammad Adrianes Bachnas  , Tjokroprawiro Brahmana Askandar
Published: September 2023

Highlights:

These cases of maternal deaths caused by COVID-19 infections illustrated the significant risk factors for maternal mortality during the early phases of the pandemic, while studies had not extensively reported this.
COVID-19 infections increase the risk of maternal and neonatal mortality, with infants having a lower chance of survival even if they are delivered.
Respiratory support, antiviral medications, antibiotics, anticoagulants, and supportive care are the primary treatments for severe COVID-19 in pregnancy.

AbstractThis article presents seven cases of maternal deaths attributed to COVID-19 during the first year of the pandemic wave. These cases provide insights into the natural progression of COVID-19 in pregnant women who were not vaccinated. This study showed that COVID-19 significantly increased maternal and neonatal mortality and morbidity. All of the patients exhibited symptoms of fever, cough, and dyspnea upon admission to the hospital. They were admitted with elevated respiratory rates (26–32 times/minute) and low oxygen saturation (<95%). Four patients had obesity, while one patient had pregestational diabetes. The COVID-19 diagnosis was established using a rapid antibody or antigen test and chest X-ray, which indicated pneumonia. Medical interventions administered to the patients included antiviral therapy (5 patients), antibiotics (6 patients), and anticoagulants (4 patients). From a total of five babies delivered, four babies were delivered via cesarean section. Two babies were not delivered due to previability and maternal deaths before delivery. The patients passed away within 3–10 days of hospital admission. In conclusion, adequate and early intervention and management of pregnant women infected with COVID-19 are crucial in preventing maternal and neonatal deaths, especially in unvaccinated women.
Factors Associated with Perceived Behavioral Control and Adolescents Smoking Behavior in a Rural Area of Indonesia
Authors: Zatihulwani Eliza Zihni , Rustanti Elly , Puspita Sylvie , Bella Sinta
Published: September 2023

Introduction: Smoking behavior among teenagers is now not a taboo issue. Not infrequently we find teenagers who are still wearing school uniforms, smoking with friends or alone, even done openly or in hiding. One of the causes of adolescents’ unable to regulate the intensity of their smoking behavior is their low self-control in adolescents. The purpose of this study was to determine the relationship between Perceived Behavioral Control (PBC) and Smoking Behavior in Adolescents in Bandarkedungmulyo Village, Jombang.
Method: The research design applies correlation analytics through the cross-sectional approach. The study population was 174 male adolescents with a sample of 44 respondents and used the purposive sampling technique. Tools The research instrument is a questionnaire sheet and data analysis of the Chi-Square Test.
Results:  The results showed that almost all respondents had PBC (High) as many as 33 respondents (75.0%) and had Smoking Behavior (Medium) as many as 27 respondents (61.4%). According to the Chi-Square test results obtained a value of 0.368 > (0.05), then there is no relationship between PBC and smoking behavior in adolescents in Bandarkedungmulyo village Jombang, due to the influence of peers and the informant's social environment. The biggest factor influencing the results of this study is peers who have a major influence on the smoking behavior of a teenager.
Conclusion: It is hoped that the research can make changes to smoking behavior and how to fend off the impact of smoking behavior on adolescents in Bandarkedungmulyo Village more optimal so that the physical and mental health of adolescents will be more guaranteed and of good quality.
The Usability of Kamishibai Card in Patient Safety: A Literature Review
Authors: Jermia Gabriella
Published: September 2023

Introduction: Monitoring patients’ safety in real time and compliance required valid instrument. Kamishibai Card or K-Card was introduced as an instrument to monitor central line-associated bloodstream infections or CLABSIs associated with nosocomial infection. However, the effectivity of the instrument remains inconsistent. The study aims to review the effectiveness of K-Card.
Methods: This study applied systematic review of published papers retrieved form data-base: Elsevier Science, Web of Science, EBSCO, and Science Direct. Inclusions were made to only full English article published from January 1, 2012 to February 28, 2022. the JBI Critical Appraisal Checklist for systematic reviews and research syntheses were applied for each study. The feasibility study of methodology using CASP tools Meta-analysis was performed to analyze the articles.
Results: A total of four articles was retrieved for analysis and synthesis using. The implementation of K-Card as an audit tool showed positive results. It leads to a quick identification of high-risk patients, increasing patient satisfaction, helping the frontline staff educate patients families, and helping the leaders have better communication with their staff. It’s simplifying the audit process for patient safety with real-time data and direct feedback to solve problems.
Conclusions: The use of K-Card allows the leaders and staff to solve their daily problems in real time that relate to patient safety, allows direct feedback and creates a bond between leaders and staff, increases patient trust and satisfaction, and also enables timely root cause analyses to improve patients care.
The Effect of Providing Health Education on Transmission Prevention Behavior and Treatment Compliance Among Tuberculosis Patients Using the Health Belief Model Approach
Authors: Widiharti Widiharti , Eka Sari Diah Jerita
Published: September 2023

Introduction: Public health problems are multicausal and therefore the solution must also be a multidisciplinary approach. Tuberculosis (TB) is an infectious disease caused by infection with Mycobacterium tuberculosis (MTB). Tuberculosis is one of the 10 most common causes of death in the world. However, not all patients have been found, treated, and reported to the national information system.
Method: Design used observational analysis with a cross-sectional approach. The population used in this study were all TB patients in health services. The sample size was 37 patients. The sampling was simple random sampling. The analysis used the chi-square test and logistic regression test with a significant value of <0.05.
Results:  The results showed that there was a correlation between transmission prevention behavior and treatment compliance with perceived susceptibility with a p-value of 0.013, and there was a correlation between transmission prevention behavior and treatment compliance with perceived benefits p=0.005.The logistic regression test result showed that the most related transmission prevention behavior and treatment compliance using the health belief model on perceived susceptibility, perceived benefits, and cues to action.
Conclusion: The research results showed that a correlation between transmission prevention behavior and treatment compliance, namely perceived susceptibility, perceived benefits, and cues to action.