bluuebunny/crossref_metadata_2025 huggingface dataset:
Information provision of the sphere of education and science of Ukraine in the conditions of martial law: report materials. science and practice conf. of V. Sukhomlynskyi SSEL of Ukraine, December 17, 2024, Kyiv
Authors:   V. Sukhomlynskyi State Scientific and Educational Library of Ukraine
Published: January 2025

The collection contains materials in which the scientific reports of the participants of the reported scientific-practical conference of the V. Sukhomlynskyi State Scientific and Educational Library of Ukraine "Information support of the sphere of education and science of Ukraine under martial law" held on December 17, 2024 are presented.
Interest of Continuous Ultrasound-Guided Iliofascial Block in Analgesia After Total Hip Replacement
Authors: PA Leye , MT Diagne , MM Traore , G Ndoye , A Diallo , AB Gueye , MN Niang , CV Kinkpe
Published: January 2025

Objective: The objective of our study was to evaluate the quality of postoperative analgesia of ultrasound-guided ilio-fascial block (IFB) with continuous catheter after total Hip Prothesis (THP).

Methods: We conducted a prospective non-randomized cross-sectional study over a period of 7 months at the Order of MALTA Hospital Center (CHOM) after informed consent from patients. Forty patients were included in this study divided into two groups of 20.

Results: The average preoperative VAS in the IFB group was 4.2 and 3.85 in the group without IFB. Morphine consumption was higher in the group without IFB with a significant difference (P = 0.038). Static VAS during the first 48 hours was significantly higher in the group without IFB except for VAS in the 40th hour (p=0.065). Dynamic VAS during the first 48 hours were also significantly higher in the group without IFB.

Conclusion: Ultrasound-guided IFB by continuous catheter via the suprainguinal route associated with multimodal analgesia after THP is a safe and effective analgesic technique.
Balancing Immunity with a Dietary Supplement Derived from Five Edible Plants for Management of Rheumatoid Arthritis
Authors: Wiriyachitra Sirithip , Wiriyachitra Pichaet , Panthong Ampai
Published: January 2025

The development of specific agents affecting T helper cell subpopulations has gained considerable attention in recent years, with natural products emerging as potential immune modulators for various diseases, including rheumatoid arthritis (RA). This study investigates the immunomodulatory effects of Arthrinox/BIM-A, a dietary supplement derived from five edible plants, namely black sesame, guava fruit, mangosteen aril, pennywort leaves, and soy protein, on the regulation of T helper cell subpopulations. Twelve healthy volunteers were divided into two groups, one receiving a placebo and the other taking Arthrinox/BIM-A capsules for 15 days. Blood samples were collected before and after the supplementation period, and peripheral blood mononuclear cells (PBMCs) were isolated and stimulated to assess cytokine production. In the present study, we demonstrated that Arthrinox/BIM-A can modulate the immune cell functions by reducing the production of several pro-inflammatory cytokines, including IL-2, IL-17 and TNF-α. Arthrinox/BIM-A is therefore suggested as the food supplement for balancing immunity in the management of RA patients.
Profile of Rheumatoid Factor in Pregnant Women at the University Hospital Center for Mother and Child (Chu-Me)
Authors: Agnes Tariam Djibangar , Mahamat Ahmat Azarak , Moussa Ali Mahamat , Nadalaou Bessimbaye , Habkreou Mayana , Goudra Abakar Tadjadine , Issakou Bakaranga-Via , Nadjib Mahamat , Tidjani Abdelsalam
Published: January 2025

Introduction: Rheumatoid Arthritis (RA) is the most common chronic inflammatory rheumatism, predominantly affecting women. The general objective of our study is to contribute to the management of pregnant women with RA at CHU-ME in N'Djamena. Materials and Methods: This prospective study analyzed the Rheumatoid Factor (Latex Test) in 60 parturients at the prenatal consultation (CPN) of CHU-ME from January 1st to March 31st, 2024. The serological analysis of the RF was determined by an agglutination test on a slide. The variables studied were sociodemographic, clinical, and biological. Results were expressed in average, percentage with standard deviation. Results: Out of 60 samples analyzed, we identified 3 cases of RF positivity in pregnant women showing a rate of 5%. The average age of parturients was 22 years old, ranging from 18 to 40. Most pregnant women had a secondary education level (40%), and 91.66% resided in urban areas. Multiparous women represented 75%, from whom most of them shows no clinical signs (60%) or medical history (91.66%). Conclusion: RF is a preventive factor against the progression to more severe stages of RA, contributing to the reduction of prenatal mortality risks.
Surgical Treatment of Basedow's Disease at the Louga Regional Amadou Sakhir Mbaye Hospital in the ENT Department
Authors: Ndiouga Fall
Published: January 2025

Introduction: Graves' disease (BD) is a dysimmune disorder. It is the most frequent cause of hyperthyroidism and can have a considerable impact on patients' quality of life. The aim was to study the frequency of BD and associated factors in the ENT department of Louga Hospital.

Patients and Methods: This was a cross-sectional, descriptive and analytical study conducted from June 20, 2019 to June 20, 2021. It focused on hospitalized patients with basedow disease. Epidemiological, clinical, paraclinical, therapeutic and evolutionary data were evaluated.

Results: Forty (40) cases of Graves' disease (8.52%) were collected. The mean age was 32 years, with extremes of 18 and 60 years. Females predominated (39 cases), with a sex ratio of M/F 0.26. The duration of the disease ranged from 1 month to 2 years, with an average of 19 months. All our patients presented with diffuse goiter and signs of thyrotoxicosis. Serum TSH levels decreased in 39 cases. Ultrasound scans performed in 100% of cases showed a homogeneous diffuse goiter, 87.5% of which was hypervascularized. Total thyroidectomy in all our patients (100%). The average hospital stay was (2.25) days (extremes: 2 and 4 days). Postoperative management was straightforward in all patients. No deaths were reported. Two cases of intermittent dysphonia were recorded. Histology was compatible with BASEDOW disease in 38 cases; the remaining 2 cases showed atypical nodules.

Conclusion: MB remains the main etiology of hyperthyroidism. Certain signs are almost constant, such as cardiovascular signs and goiter. Despite the effectiveness of medical treatments and radioactive iodine, surgery is playing an increasingly important role in the treatment of MB.
Analysis of the Evolution of Chronic Kidney Disease (CDD) in 960 Diabetic Patients in Mauritania According to Sex, Age and Ethnicity
Authors: Lemine Lella Mohamed , Yahya TFEIL , Mohamed Ghaber Sidi , Mohamed Dahiya , MV Ould El Kebir
Published: January 2025

This study sheds light on the progression of CKD (Chronic Kidney Disease) among diabetic patients in Mauritania, providing crucial insights for enhancing prevention, management, and tailoring care for this population. Of the 960 diabetics included in the study, only 26.67% exhibit normal kidney function, while 73.33% have CKD at various stages. Stage 1, termed as "Mild Kidney Insufficiency," is the most prevalent, accounting for 77.13% of all CKD cases. In contrast, stage 4, or "Terminal CKD," affects only 0.28% of the participants.

Looking at the gender distribution, it appears that CKD is slightly more common among male diabetics (40.20%) than among females (31.12%), especially at stage 1 or mild kidney insufficiency. In terms of age distribution, diabetics aged 41 to 70 years old are the most affected by CKD, with a peak between 51 and 60 years for men and between 41 and 50 years for women. Following these peaks, which result from a gradual increase, the prevalence of CKD tends to decrease. Regarding ethnic affiliation, significant disparities arise between the Moors and the Black Africans. Among the men, 89.12% of the Moors suffer from CKD compared to 10.88% of Black Africans. For women, these percentages stand at 89.4% for the Moors and 15.09% for the Black Africans. The stage of mild kidney insufficiency is overwhelmingly the most prevalent, both among the Moors and the Black Africans, affecting 71.24% and 61.01% of men respectively, and 10.10% and 11.01% of women.
Mind-Sets Regarding Diabetes: How AI + Mind Genomics Thinking Provides an Empowering New Approach
Authors: Moskowitz Howard R , Rappaport Stephen D , Wingert Sharon , Mulvey Taylor , Papajorgji Petraq , Tomaro Kenneth , Mulvey Martin
Published: January 2025

This paper presents a new approach to understanding the mind of people. The approach uses AI (artificial intelligence represented by LLM, large language models) to synthesize how a “mind-set” of similar-thinking individuals would feel in a specific situation. The situation here is defined by the user as pertaining to an 80-year-old person facing the prospect of diabetes. The approach “suggests” to the AI that there are a variety of mind-sets, requesting that AI answer 12 questions about each mind-set. The paper presents the results of this exercise for a variety of these mindsets, and further demonstrates the use of AI to analyze far more deeply the original information generated by AI for one of the mind-sets. The approach is presented as a new tool in the world of science, health, and social issues.
Proteinuria is a Key Factor Predicting the Progression of CKD: Nine- Year Follow-Up of Retrospective Health Examinee’s Cohort, Okinawa Study
Authors: Mizuno Shoichi , Watanabe Shaw , Iseki Kunitoshi , Iseki Chiho , Kinjo Kozen
Published: January 2025

With the advent of an aging society, chronic kidney disease (CKD) is increasing not only in Japan but also worldwide, with 10 million patients in Japan and more than 100 million in China, India, and Southeast Asia. While low-protein diets have been effective in prolonging the life span of CKD patients, their success has not been consistent. However, this promising approach offers hope for the future. In Japan, mass health checkups have worked to prevent cancer and lifestyle-related diseases. Okinawa consists of 20 municipalities (11 on the main island and nine on remote islands), and population movement is minimal, making it easy to track changes over time.

The population of Okinawa is 1.47 million (as of October 2023), which is 1.2% of Japan's (124.64 million). The incidence of chronic dialysis patients is about 3,500 per 1 million population. The average age of dialysis patients is over 70.

In this paper, using a Cox regression model, we examined the factors leading to the end stage of CKD in a database of approximately 40,000 persons who were retrospectively followed for ten years. Nine factors significantly related to eGFR decline: 1. eGFR: estimated Glomerular Filtration Rate, 2. Cre: Creatinine, 3. UP: dipstick Urinary Protein level, 4. SBP; systolic blood pressure, 5. Hct: Hematocrit, 6.LDH: lactate dehydrogenase, 7.Urinary glucose, 8. Alb: serum Albumin, 9. FBG: Fasting Blood Glucose. The degree of urinary protein significantly advances CKD. Diabetes itself may be a risk factor for proteinuria, but the degree of glucosuria did not affect proteinuria until the late stage. Proteinuria was the essential factor in predicting CKD progression to the end stage.
Predictors of Adherence to Self-Care Amongst Patients with Type 2 Diabetes Mellitus in Bulawayo Central
Authors: Tecklah Usai , Ruth Nyoka , Benhilda Wekwete , Mollen Mugani , Ropafadzo Chirimubwe
Published: January 2025

Self-care behaviour adherence is the cornerstone in diabetes care. The success of long-term maintenance therapy for diabetes depends largely on the patients’ adherence to self-care behaviour. The objective of the study was to assess levels and predictors of adherence to self-care behaviour among adults with Type 2 Diabetes in Bulawayo central focusing mainly on Mpilo central Hospital health staff and diabetic patients. A cross sectional study was used in which interviewer administered questionnaires were used to collect data. The questionnaires instrument was designed to understand the content of the programmes on diabetes self-care, to determine the parameters which patients are required to adhere to, to identify accessible diabetic health care services, and to identify key outcomes that determine successful self-care. The Statistical Package for Social Science (SPSS) version 20.0 were employed for analysis of collected. Descriptive statistics, the chi-square was employed to determine the presence of association between adherences to self-care behaviour with other variables (p<0.05) at P-value less than 0.05 while logistic regression was performed to identify independent predictor’s self-care behaviour adherence selfcare domains inclusive of; diet, medication, self-monitoring of blood glucose, physical activity, foot care and diabetes complications examinations. The study showed that social support, dietary counselling, selfdetermination, perceived benefits of dietary regimen are significant facilitating predictors of good adherence to self-care. The study identified financial constraints, forgetfulness, lack of time, reluctance, and reliance on social support as major barriers resulting to poor adherence to self-care adherence particularly undertaking physical activity and foot care. The study recommends targeted interventions that strengthens educational programmes to educate individuals living with diabetes on the importance of self-care.
Effective Management of Wounds in a 6-Year-Old Suspected Mpox Case in Indonesia Using NaCl Wet Foam Dressing: A Novel Approach to Pediatric Infection Control and Healing
Authors:   Maryam and Isa Clinic, Malang, Indonesia, Utami Amalia Tri ,   State University of Malang, Indonesia, Muzaahim Aasiyah ,   Maryam and Isa Clinic, Malang, Indonesia, Al Haarits Harrats ,   Maryam and Isa Clinic, Malang, Indonesia, Aali 'Imroon Maryam ,   Maryam and Isa Clinic, Malang, Indonesia, Azqiya Rhadinda Amirotul ,   Nursing Study Program, STIKES Maharani, Indonesia, Fatmasari Yuni ,   Malang State Polytechnic of Health, Indonesia
Published: January 2025

A 6-year-old child presented with progressively worsening wounds after an initial fall from a bicycle.
The wounds exhibited characteristics of fungal infection, which developed after playing with a cat. After
visiting a relative hospitalized with fungal pneumonia, the wound became purulent and severe. The
patient's condition further deteriorated after taking a warm sulfur bath, which exacerbated the lesions,
causing increased inflammation and irritation. The patient was successfully treated with NaCl wet foam
dressing. This case highlights the critical role of wound care management and prevention of secondary
infections.
VERBA ORIRU (降りる) SEBAGAI POLISEMI DALAM BAHASA JEPANG (KAJIAN SEMANTIK)
Authors: Hidayati Yanti , Fauzah Nunik Nur Rahmi , Hermawan Yosua
Published: January 2025

Penelitian ini membahas mengenai makna verba oriru sebagai polisemi dalam bahasa Jepang. Polisemi dalam bahasa Jepang disebut dengan tagigo. Tujuan dari penelitian ini adalah untuk mendeskripsikan makna dasar dan makna perluasan beserta hubungan antara makna dasar dan makna perluasan yang terdapat pada verba oriru dalam kalimat bahasa Jepang. Penelitian ini menggunakan metode deskriptif kualitatif (Moleong). Pengumpulan data dilakukan dengan teknik simak catat. Data penelitian diperoleh dari Korpus Ninjal nlb.ninjal.ac.jp. Data dianalisis menggunakan Kokuritsu Kokugo Kenkyuujo Kihon Doushi Handobukku dan Oubunsha Kokugojiten. Dari data yang telah dikumpulkan, ditemukan verba oriru memiliki lima makna dasar dan empat makna perluasan. Makna dasarnya yiatu: 1) gerak ke bawah oleh mahluk hidup; 2) Gerakan ke bawah melalui suatu jalur oleh makhluk hidup; dan 3) gerak ke bawah oleh benda mati; 4) kendaraan bergerak ke jalan yang lebih rendah; 5) bergerak keluar dari kendaraan. Makna perluasannya yaitu: 1) kemunculan kabut, embun es, dan embun; 2) pengunduran diri, 3) pelepasan hak dan kesempatan, dan 4) penampakan makhluk khayalan.
POLITENESS STRATEGY USED BY JESS NO LIMIT AND MIAWAUG WHILE PLAYING RIDE OUT HEROES (ROH) TOGETHER (MABAR)
Authors: Pradinda Yulia , Tarigan Abigail Putri Chrissantha , Sasmita Rheina , Rangkuti Rahmadsyah
Published: January 2025

This research aims to analyze the types of politeness strategies used by Jess No Limit and MiawAug during their Ride Out Heroes (ROH) gameplay, using Brown and Levinson’s (1987) theory. The descriptive qualitative method was employed in this study, with data sourced from the transcript of the YouTube gaming video where Jess No Limit and MiawAug played together (mabar) the ROH game. It was uploaded on MiawAug’s YouTube channel on November 1, 2019. The data included utterances from Jess No Limit and MiawAug that contained politeness strategy. Data were collected using documentation and note-taking techniques and analyzed through content analysis. The results indicate that 250 utterances containing politeness strategy were identified, with Jess No Limit contributing 107 and MiawAug contributing 143 utterances. Specifically, Jess No Limit used bald on record 20%, positive politeness 68%, negative politeness 8%, and off-record 4%. MiawAug used bald on record 32%, positive politeness 51%, negative politeness 11%, and off-record 6%. Jess No Limit and MiawAug predominantly used positive politeness strategy, highlighting their focus on maintaining a friendly and cooperative interaction during gameplay.
Modern Challenges in The Sphere of Defense and National Security of Ukraine
Authors: Tarasyuk Volodymyr
Published: January 2025

Modern political science has singled out national identity based on citizenship from other features (language, culture, ethnic origin, etc.). A Ukrainian is not only someone who communicates in the Ukrainian language or visits the churches of the OCU but, first, a representative of society who respects the citizenship of the Ukrainian state and is ready to defend it. The Ukrainian state, which is in the conditions of an existential war with Russia and socio-political imbalance, should focus on the nationwide consolidation of society and the cessation of destructive processes that harm the formation of state-building traditions and national legal awareness of citizens.

Despite a wide range of external negative factors, the primary source of destruction and obstacles was and remains the Ukrainian political community — subjects who should act as carriers of political culture, values, and national cohesion, but instead, contrary to national interests, work to the detriment of Ukraine — spread negative provocative narratives, misinformation, fear, insecurity, etc. Such actions demonstrate the immaturity of Ukrainian political elites and eﬀorts to put their conjunctural political interests above national interests.

The maturity of society consists in the realization that power belongs to and is formed by the majority, that is, the people of Ukraine, as the only source of power, and not by the oligarchic-corrupt system, in whose hands financial and political instruments are concentrated. One of the basic strategic tasks in national security and defense should be implementing an eﬀective model of collective security and defense tested in several countries, where every citizen should become an integral component of the national defense system. The military profession should be prestigious and socially significant.
Martial Law in Ukraine and Emergency Legal Regimes associated with Environmental Consequences
Authors: Malysheva N. R.
Published: January 2025

In this article the emergency legal regimes, the possibility of introduction of which in Ukraine is fully or partially associated with large-scale environmental consequences which can be eliminated or minimized only with the onset of a special period in the functioning of state, public, civil and other structures are analyzed. The author examines the legal regulation of martial law, the state of emergency and the environmental emergency zone in a comparative legal manner: the procedure for introducing all three legal regimes, the differences regarding the grounds and purpose of establishment; temporal and territorial frameworks of their possible action; regarding the content of the ecologically oriented measures provided for by them are analyzed.
The current legislation of Ukraine does not clearly regulate the possibility of simultaneous introduction of several special regimes if there are formal environmental and legal grounds for this. A comparative analysis of the respective legal regimes allows us to draw an unambiguous conclusion in this regard: declaring a certain territory of Ukraine an environmental emergency zone is not appropriate and possible until martial law is terminated in that territory. This is due to the conflicting nature of the respective legal regimes, as well as the hierarchy of their objectives, main tasks and content. The unconditional priority should be given to martial law, the introduction of which is related to averting threats, repelling armed aggression and ensuring national security and independence of Ukraine. At the same time, if there are formal grounds for the introduction of an emergency zone in the territory where the martial law already operates, urgent measures for environmental rehabilitation and elimination of dangerous consequences for the environment should be organized and implemented within the existing regime. All these issues should be regulated in the legislation on special legal regimes.
To pace or not to pace, that’s (still) the question, from heart to … brain
Authors: GUIHO Frederic
Published: January 2025

Heart and brain have similarities, both can be paced and shocked. Cardiac pacemaker and defibrillator allowed, according to the locations of the pacing and defibrillating lead(s), to pace respectively with low or high energies different cardiac topographic regions in order to monitor, treat heart’s arrythmias and try to restore the more physiologic cardiac functioning. The technical transposition of cardiac pacing to the brain might be the deep brain stimulation (DBS) for invasive technics avec repetitive transmagnetic stimulation (rTMS) or transcranial direct current stimulation (tDCS) for non-invasive technics. Similarly, the electroconvulsive therapy (ECT) is an equivalent for brain to cardiac defibrillator (i.e. external one). The transposition from heart to brain and then from heart's device to brain's device let us to imagine the long path to attain. rTMS, tDCS, DBS’s or ECT algorithms suffer from a lack of complexity. Only deaf devices exist. A better understanding of the heart and the brain is therefore still and always more necessary. Therefore, connections are always more than necessary in all disciplines including medical, as illustrated by the heart and the brain. Cardiac modulation might show the path to neuro modulation. Theses latter have results, but the available treatments give mitigate responders and are too approximative in comparison to the wider complexity of the organs and to unknown feedbacks so far. Are we then clear enough in our way of defining the mental pathologies, sometimes so nosographycally different but with such common semiological specificities?
Analysis of the Influence of Budget Planning and Human Resource Quality on Budget Absorption: An Empirical Study at The Coordinating Ministry for Economic Affairs of The Republic of Indonesia
Authors: Hardiningsih V. , Gunawan S. T.
Published: January 2025

The study was conducted with the aim of knowing the effect of budget planning factors and the quality of human resources on budget absorption within the Coordinating Ministry for Economic Affairs. This research is important because the absorption of the State Budget (APBN) is the main indicator to determine whether the efficiency of state financial management is good or bad. Therefore, the factors that influence it need to be studied more deeply. The population and sample of the study were employees of the Coordinating Ministry for Economic Affairs who handled budget management in both main and additional assignments. Primary data sources were obtained by distributing questionnaires and secondary data were obtained from literature studies on books, journals, and government regulations. The data analysis technique used multiple linear regression analysis with SPSS ver 23 software. The results of the study showed that budget planning had a significant positive effect but the quality of human resources had an insignificant positive effect on budget absorption. In addition, both variables simultaneously affect budget absorption within the Coordinating Ministry for Economic Affairs.
Resepsi Khalayak tentang Makna Toleransi pada Tayangan Youtube Log In Season-2 Episode 15 (Perang Takjil)
Authors: Yudi Wahyudi  , Windyaningrum Rachmawati
Published: January 2025

Fenomena "perang takjil," yakni idiom persaingan dalam pembagian takjil selama bulan Ramadan tahun 2024, telah menjadi topik yang menarik dalam kajian sosial dan media. Tayangan Log In pada platform Youtube yang dibawakan oleh Habib Jafar dan menghadirkan Pendeta Marcel, membahas isu toleransi dari sudut pandang agama dan sosial, dengan tujuan mengedukasi toleransi antar umat beragama. Penelitian ini bertujuan untuk menganalisis penerimaan audiens terhadap pesan toleransi yang disampaikan melalui tayangan tersebut dengan mengidentifikasi aspek posisi dominan hegemonis, posisi negosiasi, dan posisi opsisi. Penelitian ini menggunakan metodologi kualitatif dengan metode analisis resepsi. Teknik pengumpulan data diperoleh melalui wawancara mendalam. Wawancara dilakukan kepada 3 orang subscriber channel Log In  dengan teknik penentuan informan melalui purposive sampling. Teknik analisis data dilakukan melalui tahapan mengorganisasikan data, memilah-milahnya data, mensisitensikan data, mencari dan menemukan pola, menemukan apa yang penting dan apa yang dipelajari dan memutuskan apa yang dapat diceritakan kepada orang lain. Triangulasi yang digunakan adalah triangulasi sumber. Hasil penelitian menunjukkan bahwa penerimaan pesan toleransi beragam, sebagian besar responden menghargai upaya tayangan dalam menyebarkan nilai-nilai toleransi, meskipun ada yang merasa pesan tersebut kurang efektif atau bahkan menimbulkan kontroversi. Faktor-faktor seperti latar belakang sosial, agama, dan pengalaman pribadi menjadi sumber interpretasi audiens. Tayangan ini diakui mampu mendorong dialog lintas agama, namun juga menuai kritik terkait potensi kesalahpahaman dan stereotip. Log In memiliki potensi tayangan yang membentuk pandangan audiens terhadap isu-isu sosial dan agama, yang bergantung pada konteks penyampaian serta sensitivitas terhadap keberagaman penonton.
Hubungan Kehamilan Tidak Diinginkan dengan Kejadian Stunting (Analisis Data Riskesdas 2018)
Authors: Feriza Silvanska , Maribeth Annisa Lidra , Prihatiningrum Tri Puspita
Published: January 2025

Latar belakang : Stunting dapat disebabkan dari beberapa faktor berkaitan yang terdiri dari faktor ibu, anak dan lingkungan. Salah satu faktor yang memegang peranan penting adalah faktor ibu. Perilaku negatif yang dilakukan ibu dapat memberi pengaruh yang besar pada pola asuh yang nantinya akan berdampak buruk pada perawatan dan pemberian nutrisi anak. Perilaku negatif ibu bisa saja terjadi karena kehamilannya yang tidak diinginkan. Tujuan : Untuk mengetahui hubungan antara kehamilan tidak diinginkan dengan kejadian stunting pada anak. Metode : Penelitian ini bersifat kuantitatif menggunakan data sekunder dari riset kesehatan nasional dengan metode potong lintang (cross sectional). Populasi terjangkau pada penelitian adalah anak usia 0-5 tahun yang menderita stunting dan wanita 15-49 tahun yang mengalami kehamilan tidak diinginkan di Indonesia yang terdapat pada data Riskesdas 2018 sebanyak 69.891 sampel. Analisa data univariat disajikan dalam bentuk distribusi frekuensi dan analisis bivariat menggunakan uji chi-square. Hasil : Dari analisis data bivariat menggunakan uji chi square didapatkan tidak ada hubungan signifikan antara kehamilan tidak diinginkan dengan kejadian stunting pada anak dengan nilai p=0,566 (p>0,05) tetapi jika dilihat secara proporsional ditemukan bahwa kejadian stunting lebih banyak ditemukan pada ibu yang mengalami kehamilan tidak diinginkan yaitu sebanyak (29,3%) dibandingkan dengan kehamilan diinginkan sebanyak (28,9%). Kesimpulan : Dari hasil penelitian ditemukan tidak adanya hubungan yang signifikan antara kehamilan tidak diinginkan dengan kejadian stunting, namun terdapat beberapa variabel konfonding yang berhubungan dengan kejadian stunting pada anak yaitu adanya hubungan signifikan antara pendidikan ibu, ANC, nomor urut kehamilan, jumlah kehamilan, umur kehamilan dengan kejadian stunting pada anak di Indonesia.
Hubungan Tingkat Pendidikan dan Tingkat Pendapatan Orang Tua dengan Kejadian Skabies di Puskesmas Medan Sunggal
Authors: Priccilia Agnes Bella , Citra Irwanto , Napitupulu Helen Debora , Novianti Wulan , Situmorang Ronaldo Nicolas Nathaniel , Rumapea Febrin Tiofani , Sigit Izhar Athala , Simanjuntak Maestro Bina Utama , Lumbantobing Paul
Published: January 2025

Pendahuluan: Prevalensi penyakit scabies di Indonesia semakin membesar 4,60 – 12,95 % dan penyakit ini menduduki urutan ketiga dari dua belas penyakit kulit tersering. Skabies merupakan penyakit infeksi parasit pada kulit yang disebabkan oleh masuknya organisme Sarcoptes scabiei. Skabies menular melalui kontak langsung seperti berjabat tangan ataupun tidak langsung seperti mengenakan handuk bersama. Penyakit ini sering terjadi karena personal hygiene yang kurang baik, dan rendahnya tingkat pengetahuan masyarakat mengenai penyakit ini. Tujuan penelitian: Penelitian ini bertujuan untuk mengetahui hubungan tingkat pendidikan, tingkat dan pendapatan orang tua dengan kejadian skabies di Puskesmas Medan Sunggal.. Metode: Jenis penelitian ini menggunakan metode observasional analitik dengan desain cross sectional dengan sampel sebanyak 42 orang. Hasil: Distribusi frekuensi responden berdasarkan frekuensi kejadian skabies dijumpai 18 orang mengalami skabies (42,9%) berdasarkan tingkat pendidikan paling banyak pada tingkat pendidikan SD - SMP yakni 24 orang (57,1%), berdasarkan tingkat pendidikan paling banyak pada responden dengan pendapatan < UMR yakni 23 orang (54,3%). Berdasarkan uji statistic Chi Square diperoleh hasil p = 0,040 untuk hubungan kejadian scabies dengan tingkat Pendidikan, p = 0,001 untuk hubungan kejadian scabies dengan tingkat pendapatan, yang berarti terdapat hubungan yang signifikan antara kejadian scabies dengan tingkat Pendidikan dan tingkat pendapatan. Kesimpulan: Pengetahuan masyarakat yang kurang mengetahui tentang penyakit skabies pada tingkat awal masuk terutama yang tinggal di asrama pondok pesantren bersiko mudah tertular berbagai penyakit khususnya skabies. Masyarakat juga kurang mengetahui penyebab dari skabies misalnya hanya mengetahui kebersihan diri yang kurang baik dan mereka menganggap penyakit skabies merupakan penyakit yang biasa saja seperti kudis dan cacar air.
Korelasi antara Kadar Interleukin-6 dengan Kadar Reverse Triiodothyronine dan Kadar Hormon Tiroid Lainnya pada Pasien Sakit Kritis dengan Non-Thyroidal Illness Syndrome
Authors: Aprilia Dinda , Decroli Eva , Fadella Annesa
Published: January 2025

Pendahuluan: Penyakit kritis dapat disertai dengan perubahan hormon tiroid. Non-thyroidal illness syndrome (NTIs) adalah kelainan tes fungsi tiroid ditandai dengan penurunan kadar triiodothyronine (T3) dan peningkatan kadar reverse triiodothyronine (RT3) pada pasien dengan penyakit sistemik non-tiroid berat tanpa kelainan tiroid sebelumnya dan interleukin (IL)-6 dikatakan terlibat dalam patogenesis NTIs. Tujuan: Mengetahui rerata kadar IL-6, Thyroid Stimulating Hormone (TSH), T3, Thyroxine (T4) dan RT3 pada pasien kritis; Mengetahui hubungan kadaar IL-6 dengan kadar TSH, T3, T4 dan RT3 pada pasien kritis; Mengetahui angka kejadian NTIs. Metode: Penelitian ini merupakan penelitian observasional analitik dengan desain cross-sectional yang dilakukan di RSUP Dr. M. Djamil Padang pada 30 pasien kritis yang memenuhi kriteria inklusi dan eksklusi. Dilakukan pemeriksaan kadar IL-6, TSH, T3, T4 dan RT3. Hasil: Pada penelitian didapatkan rerata kadar IL-6 adalah 37,457 (24,70) pg/ml dan rerata kadar TSH, T3, T4 dan RT3 secara berurutan adalah 1,19 (1,12) uIU/ml, 0,486 (0,30) nmol/L, 60,87 (27,19) nmol/L dan 181,84 (72,10) ng/dL. Terdapat korelasi yang signifikan (p<0.05) dengan arah korelasi negatif dan kekuatan korelasi lemah (r=-0.319) antara IL-6 dan TSH, korelasi kuat (r=-0.6) antara IL-6 dan T3, korelasi lemah (r=-0,302) antara IL-6 dan T4. Terdapat korelasi yang signifikan (p<0,05) dengan korelasi positif dan korelasi sangat kuat (0,944) antara IL-6 dan RT3. Angka kejadian NTI 96,67% dengan gambaran kombinasi hormon terbanyak yaitu TSH normal, T3, T4 rendah, RT3 tinggi sebesar 46,7%. Kesimpulan: Terdapat korelasi negatif antara kadar IL-6 dengan kadar TSH, T3, T4 dan korelasi positif antara kadar IL-6 dan kadar RT3 pada pasien sakit kritis.
Literature Review: Pengaruh Estrogen Terhadap Depresi Pasca Persalinan
Authors: Gunawan Decky , Camillo Keyshia Valentine , Gunadi Julia Windi , Sanjaya Ardo
Published: January 2025

Depresi pasca persalinan merupakan kondisi mental yang ditunjukkan oleh perasaan yang konstan merasa rendah diri pada ibu yang baru melahirkan, dengan disertai perasaan sedih, penurunan harga diri, dan rasa putus asa. Estrogen memiliki efek indirek terhadap suasana hati melalui pengaruhnya pada fungsi endokrin, proses peradangan selama masa nifas, serta memodulasi aktivitas molekuler otak seperti brain-derived neurotrophic factor (BDNF) dan cyclic AMP response element binding protein (CREB). Perubahan hormonal yang signifikan pada ibu yang baru melahirkan memicu para peneliti untuk mengetahui pengaruh estrogen pada depresi pasca persalinan dan peluangnya dalam pengobatan. Tujuan dari telaah literatur ini adalah mengetahui pengaruh estrogen terhadap depresi pasca persalinan. Metode penelitian adalah telaah delapan artikel yang diperoleh dari PubMed dan BMJ journal dengan kata kunci “estrogen” dan “postpartum depression” dan dipilih berdasarkan kriteria inklusi seperti tahun terbit (2014-2024) dan isi artikel. Hasil telaah pada delapan artikel penelitian yang diperoleh menunjukan lima penelitian menunjukkan tidak ada pengaruh pemberian estrogen terhadap depresi pasca persalinan, sedangkan tiga penelitian menunjukan ada pengaruh. Depresi pasca persalinan bukan hanya karena faktor hormon estrogen, namun masih banyak faktor lain yang menjadi etiologinya. Kesimpulan telaah ini, sampai saat ini tidak ada bukti langsung pengaruh terapi estrogen untuk depresi pasca persalinan, namun masih memiliki potensi untuk dilakukan penelitian lebih lanjut sebagai terapi ajuvan.
Non Classic - Congenital Adrenal Hyperplasia: Suatu Kasus Langka
Authors: Sofiani Dinda Putri , Decroli Eva , Aprilia Dinda , Kam Alexander
Published: January 2025

Congenital Adrenal Hyperplasia (CAH) adalah kelainan autosomal resesif yang disebabkan defek steroidogenesis. Salah satu tipe CAH adalah defisiensi 21-hydroxylase yang terdiri dari sub tipe classic dan non-classic. Penegakan diagnosis dan penatalaksanaan CAH merupakan suatu tantangan dikarenakan langkanya kasus dan manifestasi klinis yang bervariasi, tergantung pada jenis dan tingkat keparahan defisiensi enzim. Telah dilaporkan suatu kasus yang langka berupa klitoromegali dengan hirsutisme dan amenorea primer, yang merupakan suatu non classic - congenital adrenal hyperplasia (NC-CAH). Penegakan diagnosis NC-CAH pada kasus ini didapatkan dari gambaran virilisasi pada wanita dewasa berupa klitoromegali dan hirsutisme yang disertai amenorea primer dengan kadar kortisol serum dan elektrolit yang normal. Penelusuran riwayat keluarga dan pencitraan membantu penegakan diagnosis, namun pemeriksaan 17-Hydroxyprogesterone tetap disarankan untuk konfirmasi diagnosis dan pemantauan terapi.
School factors and academic achievement of primary students in Dujiangyan, China: psychological capital as a mediator
Authors: Ma Yuwei , Ooi Boon Keat
Published: January 2025

School factors represent a significant variable that exerts a profound influence on student academic achievement (AA). The construction and development of psychological capital (PsyCap) theory has led to the realization that PsyCap is an important factor influencing student AA. This study aimed to investigate the effect of non-physical school factors, namely school satisfaction (SS), teacher support (TS) and teacher-student relationship (TSR), on student AA through their PsyCap. Adopting a quantitative research methodology based on positivist research concepts, the study analyzed the data using SPSS 27 and Amos 27. The findings indicated that SS, TS, TSR, and PsyCap exerted a considerable positive influence on student AA. The effect sizes were as follows: SE(SS → AA) = 0.258***, SE(TS → AA) = 0.233***, SE(TSR → AA) = 0.255***, and SE(PsyCap→AA) = 0.427***. The results demonstrated a significant mediating effect of PsyCap on the effects of SS, TS, and TSR on student AA. The mediating effect accounted for 29.1, 41.2, and 37.2% of the total effect of each pathway, in that order. A noteworthy finding of this study is that the key influencers, person, exerts a more pronounced effect on students’ PsyCap than other influencers. Furthermore, the impact of PsyCap on student AA is also more pronounced. The research model developed in this study on the influence of SS, TS and TSR on student AA through the mediation of PsyCap addresses a gap in the existing educational research literature and contributes to the evolving body of knowledge on PsyCap in the field of education, particularly in the context of primary education.
Knowledge of obstetric danger signs and its associated factors among husbands residing in the Raya Kobo district, Ethiopia
Authors: Derbew Jemal , Yesuf Adem , Mihrete Abebe , Abdallah Amira , Mohammed Abdurehman , Sirage Nurye , Molla Bogale
Published: January 2025

Background

The term “danger signs” refers to any symptoms or indicators that suggest a pregnant woman may be at risk during pregnancy. Mothers are often burdened with responsibilities, and the majority of them do not even receive treatment for potential complications, which can ultimately lead to the loss of their lives. This situation highlights the barriers that prevent them from being properly prepared for potential risks. In Ethiopia, various studies have been conducted on male involvement in pregnancy, but none have assessed knowledge of obstetric danger signs (ODS). While a few studies have focused on husbands’ knowledge of obstetric danger signs, there is still variation in the variables examined.

Objectives

The objective of the study was to assess the level of knowledge about obstetrical danger signs and the associated factors among husbands whose wives were pregnant and gave birth within the last 12 months in the Raya Kobo district, North Wollo, Amara Ethiopia, in 2023.

Methods

A community-based cross-sectional study was conducted from 29 April to 30 May 2023 in the Raya Kobo district. A multi-stage stratified random sampling technique was used to select 626 samples. The data were analyzed using SPSS version 26.00 statistical software. Independent variables with a p-value of ≤0.25 in the bivariate analysis were considered candidates for multivariate analysis, and a p-value of ≤0.05 was considered statistically significant.

Results

Regarding knowledge about obstetric danger signs, 46.3% (95% CI: (42.6 to 50.3%)) of the respondents had good knowledge. The variables significantly associated with knowledge about obstetric danger signs included husbands who attended secondary school (adjusted odds ratio (AOR) = 4.77, 95% CI, (1.42–16.04)), those living in urban areas (AOR = 3.00, 95%CI = (1.59, 7.57)), those with an average monthly income between 3,001 and 5,000 birr (AOR = 3.35, 95% CI = (1.58, 7.12)), and those with more than five children (AOR = 0.15, 95% CI = (0.05–0.46)).

Conclusion and recommendations

The knowledge of obstetric danger signs among husbands in the Raya Kobo district was limited. The educational status of the husband, average family income, residence, and number of children were significantly associated with the husbands’ knowledge of obstetric danger signs. Therefore, these findings highlight the importance of addressing knowledge gaps through targeted educational programs aimed at improving awareness of obstetric danger signs.
Application of Multi-Criteria Decision-Making Models for Assessment of Education Quality in Water Resources Engineering
Authors: Ghorbani Mohammad Kazem , Talebbeydokhti Nasser , Hamidifar Hossein , Samadi Mehrshad , Nones Michael , Rezaeitavabe Fatemeh , Heidarifar Shabnam
Published: January 2025

Assessing and improving the quality of education in universities can play a prominent role in developing countries. This study aims to demonstrate an extensive methodology with a related algorithm for assessing the quality of education in Water Resource Engineering (WRE) based on Klein’s learning model and using the hybrid fuzzy-AHP-TOPSIS (FAT) method. Four out of the top ten universities in Iran, including Iran University of Science and Technology (IUST), Amirkabir University of Technology (AUT), Shiraz University (SU), and Khajeh Nasir al-Din Toosi University of Technology (KUT), are considered as case studies. First, participants answered questions based on Klein’s model so that the weight coefficients according to the fuzzy-AHP technique were extracted. Second, these coefficients were transferred to the TOPSIS environment, where the previously prioritized criteria were utilized to select the ideal solution. Finally, the relative closeness of universities (CC) as a performance evaluation criterion in the form of CC(IUST) = 0.54, CC(AUT) = 0.49, CC(SU) = 0.45, and CC(KUT) = 0.39 was obtained. The sensitivity analysis was performed based on the number and type of Klein’s qualitative criteria on the model, and Fourier series expansion curves were used to better compare the results of the proposed algorithm. The presented algorithm in this research can be a good basis for education assessment models in universities.
Soil Microarthropods as Tools for Monitoring Soil Quality: The QBS-ar Index in Three European Agroecosystems
Authors: Gallese Filippo , Gismero-Rodriguez Laura , Govednik Anton , Giagnoni Laura , Lumini Erica , Suhadolc Marjetka , Vaccari Francesco Primo , Maienza Anita
Published: January 2025

The QBS-ar, based on the study of microarthropod community structure, is well known as a quick and low-cost indicator to monitor soil biological quality at the farm scale. Temperature fluctuations and other climate factors in European countries may indirectly influence soil microarthropod communities by altering resource availability and microhabitat conditions. In the context of the climate crisis, along with drought and erosion threats, especially in southern Europe, it is essential to define the limits and advantages of the QBS-ar index. We applied the QBS-ar index along a warm temperature gradient at three long-term experimental sites. Our results underlined that the QBS-ar is very sensitive for detecting soil quality and treatment effects. The results suggest that the choice of sampling season is a particularly vulnerable phase, especially for southern Mediterranean sites. Air temperature and cumulative precipitation, even in the months prior to sampling, are critical factors to consider when applying the QBS-ar index in European countries. Drought periods can negatively influence the results for soil microarthropod relative abundance; however, the presence of biological forms seems to provide useful information about the effects of treatments on soil quality. This paper lays the groundwork for scaled-up QBS-ar applications considering soils and several environmental characteristics of agroecosystems in Europe. The work can contribute to the development of applications of the index, facilitating and improving the monitoring of soil biology at the field scale. Furthermore, this study can open future perspectives for the application of QBS-ar on a larger scale thanks to the implementation and updating of an open-source database.
Research on Lightweight Algorithm Model for Precise Recognition and Detection of Outdoor Strawberries Based on Improved YOLOv5n
Authors: Cao Xiaoman , Zhong Peng , Huang Yihao , Huang Mingtao , Huang Zhengyan , Zou Tianlong , Xing He
Published: January 2025

When picking strawberries outdoors, due to factors such as light changes, obstacle occlusion, and small target detection objects, the phenomena of poor strawberry recognition accuracy and low recognition rate are caused. An improved YOLOv5n strawberry high-precision recognition algorithm is proposed. The algorithm uses FasterNet to replace the original YOLOv5n backbone network and improves the detection rate. The MobileViT attention mechanism module is added to improve the feature extraction ability of small target objects so that the model has higher detection accuracy and smaller module sizes. The CBAM hybrid attention module and C2f module are introduced to improve the feature expression ability of the neural network, enrich the gradient flow information, and improve the performance and accuracy of the model. The SPPELAN module is added as well to improve the model’s detection efficiency for small objects. The experimental results show that the detection accuracy of the improved model is 98.94%, the recall rate is 99.12%, the model volume is 53.22 MB, and the mAP value is 99.43%. Compared with the original YOLOv5n, the detection accuracy increased by 14.68%, and the recall rate increased by 11.37%. This technology has effectively accomplished the accurate detection and identification of strawberries under complex outdoor conditions and provided a theoretical basis for accurate outdoor identification and precise picking technology.
Rice–Potato Rotation Pattern Affects 2-Acetyl-1-Pyrroline Biosynthesis and Productivity in Aromatic Rice Grains
Authors: Hu Fengqin , Shen Congcong , Feng Dehao , Zhu Shuangbing , Lu Jian , Zhu Jianqiang , Qiu Xianjin , Chen Kai , Du Bin , Xu Jianlong
Published: January 2025

Aromatic rice has gained significant attention due to its high economic and nutritional value. 2-Acetyl-1-pyrroline (2-AP), a key aroma compound in aromatic rice, plays a crucial role in elucidating the aroma characteristics of aromatic rice. However, there is no report on the effect of aromatic rice in rice–potato rotation on aroma characteristics. In order to study the influences of winter-planted potatoes on the yield, quality, and 2-AP biosynthesis of aromatic rice grains, the commonly cultivated aromatic rice variety Meixiangzhan-2 and the potato cultivar Huashu-5 were selected as experimental materials for a three-year consecutive field experiment with different tillage patterns consisting of rice–winter fallow as the control group (CK) and rice–potato rotation as the experimental group (RP). The results indicated that the RP treatment enhanced the soil nutrient content and decreased the bulk density. Compared with CK, RP treatment increased the effective panicle number by 10.88% and grain number per panicle by 8.82%, thereby increasing the yield by 11.99%. Meanwhile, RP treatment improved the brown rice rate by 2.61%, milled rice rate by 4.53%, head milled rice rate by 7.51%, and crude protein content by 6.98%. Regarding 2-AP biosynthesis in grains, in contrast to CK, the RP treatment raised the levels of related precursors (Δ1-pyrroline, Δ1-pyrrolidine-5-carboxylic acid, and proline increased by 8.95%, 18.14%, and 13.75%, respectively) and enzymes (proline dehydrogenase, ornithine transaminase, and diamine oxidase increased by 18.37%, 14.61%, and 11.36%, respectively) in its synthesis pathway, thereby facilitating the accumulation of 2-AP. Furthermore, we also observed a more stable yield and grain 2-AP content in aromatic rice under RP treatment. Overall, with regard to enhancing the aromatic rice yield and aroma, the rice–potato rotation system can be contemplated for vigorous promotion.