bluuebunny/crossref_metadata_2025_split huggingface dataset:
Inadequate lung volume recruitment after sustained lung inflation	in high frequency oscillatory ventilation: Pathophysiology and inflammation in	an animal RDS model
Authors: Krishnan Ramesh K.M. , Meyers Pat A. , Worwa Cathy , Goertz Ronald , Schauer Galen , Mammel Mark C. 
Published: December 2024

Objective: We hypothesized that a single sustained inflation (SI) of the lung as a volume recruitment maneuver during high frequency oscillatory ventilation (HFO-SI) would improve pathophysiologic, inflammatory responses when compared to conventional inflation (CI) during both HFO (HFO-CI), volume targeted synchronized intermittent mandatory ventilation (SIMV+V) in spontaneously breathing newborn piglets with surfactant washout. Design: Prospective, randomized animal study. Subjects: Thirty-two newborn piglets. Interventions: Animals underwent saline lavage to produce lung injury, received surfactant and randomized to one of 3 treatment groups. Lung volume recruitment (LVR) protocol followed and ventilation continued for 6 hours. Measurements and main results: Vital signs and arterial blood gases were continuously monitored. End expiratory lung volume (ΔEELV) changes were estimated during LVR using respiratory impedance plethysmography (RIP). At baseline, post lung injury, 6 hours: serum, bronchoalveolar lavage (BAL) samples for proinflammatory cytokines were collected and static pressure volume (P/V) curves obtained. At 6 hours animals were euthanized and lungs fixed for morphometrics, histopathology. ΔEELV during LVR was greatest using SIMV+V, HFO-CI (p<0.05); HFO-SI required higher P $_{aw}$ for LVR compared to SIMV+V (p< 0.005), while ΔEELV change was lowest. Oxygenation was greatest with SIMV+V. Inflammatory responses, histopathology and morphometrics were similar. Conclusions: Single SI during HFO is not adequate for LVR. SIMV+V and HFO-CI adequately recruited lung volumes without creating more lung injury.
Is emergency birth preparedness associated with increased skilled	care at birth? Evidence from rural Uttar Pradesh, India
Authors: Rosecrans A.M. , Williams E.K. , Agrawal P.K. , Ahmed S. , Darmstadt G.L. , Kumar V. , Ahuja R.C. , Srivastava V.K. , Black R.E. , Santosham M. , Baqui A.H. 
Published: December 2024

Background: Emergency birth preparedness has been promoted to address delays in seeking skilled care at birth. However, little evidence is available for the effectiveness of birth preparedness in the context of large scale programs. This analysis uses data from the evaluation of a community-based maternal and newborn care program in rural India to examine the association between birth preparedness and use of a skilled birth attendant. Methods: Community-based workers counseled pregnant women on maternal and newborn care, including four emergency birth preparedness steps: 1) identifying a health facility, 2) identifying a person to accompany the mother, 3) arranging for transport, and 4) saving money. Logistic regression was used to assess the association between taking any emergency birth preparedness step and using a skilled birth attendant. Results: Of the 8,069 women who gave birth during 2004–2005, 51.8% (n = 4,183) took at least one emergency birth preparedness step. In the adjusted analysis, women who took at least one birth preparedness step were 45% more likely to have skilled care at birth [OR: 1.45; 95% CI: 1.30–1.63]. Conclusions: Promoting emergency birth preparedness in community-based maternal and newborn care programs may increase the utilization of skilled birth attendants.
A randomized controlled trial on the use of oral ibuprofen to	close patent ductus arteriosus in premature infants
Authors: Salama Husam , Alsisi Amal , Al-Rifai Hilal , Shaddad Afaf , Samawal Lutfi , Habboub Lina , Masoud Ahmed 
Published: December 2024

Objective: To compare the efficacy of oral ibuprofen with that of intravenous indomethacin for closure of significant patent ductus arteriosus (PDA) in premature infants. Study design: We conducted a prospective randomized controlled trial on premature infants (gestational age < 34 weeks and birth weight < 2500 grams) diagnosed with hemodynamically significant PDA. After parental consent, infants were randomly assigned to one of two groups: group A, infants received intravenous indomethacin, and group B infants received oral ibuprofen. Echocardiography was performed before enrollment and after each course of treatment. The study was designed with a one-way cross over. Infants diagnosed with significant PDA after receiving two courses of ibuprofen were then offered a course of intravenous indomethacin. Results: A total of 41 infants were recruited in the study; of them 20 infants received indomethacin and 21 infants received oral ibuprofen. The mean gestational age was 27 weeks ± 1.5, the mean birth weight was 1050 grams ± 900 grams, and the mean age at the start of therapy was 7 days ± 1.8. Complete closure of the PDA was achieved with indomethacin in 10 infants, and with ibuprofen in 14 infants (p = 0.3). Surgical ligations were performed on four infants in the indomethacin group and two infants in the ibuprofen group. Three infants in the ibuprofen group were re-assigned to the group receiving indomethacin. Overall gastrointestinal complications in the indomethacin and ibuprofen groups were not different (9 vs. 5 infants, respectively; > 0.2). Bowel perforation occurred in 4 infants in the indomethacin group and 1 infant in the ibuprofen group, while benign feeding intolerance developed in 3 and 4 infants respectively. No infants developed thrombocytopenia and there were no significant renal function changes in either group. However, there were five mortalities in the indomethacin group and three in the ibuprofen group. Conclusion: This study suggests that oral ibuprofen could be a valid alternative to indomethacin for the treatment of PDA in premature infants < 34 weeks. Although ibuprofen was associated with less side effects, larger cohort studies are needed to address safety of the use of oral ibuprofen in premature infants before any recommendation.
A practical approach to assessment of neonatal thrombocytopenia in	NICU
Authors: Al Ghamdi Mohammad , Al Umran Khalid , Albuali Waleed 
Published: December 2024

Objective: To study the occurrence, pattern, severity and outcome of neonatal thrombocytopenia based exclusively on the time of onset. Methods: This retrospective study was performed at King Fahd Hospital of the University, a tertiary center for neonatal intensive care in Eastern Saudi Arabia. Over a period of seven years (January 2000 to December 2006), all consecutive neonates admitted to NICU with at least two readings of platelet count of less than 150 × 10 $^9$ L were enrolled. The pattern of onset of thrombocytopenia was classified as early if it developed within the first 72 hours of age or late if it presented after that. Severity of thrombocytopenia was mild to moderate if the count was ⩾ 50 but < 150 × 10 $^9$ L and severe If < 50 × 10 $^9$ L. Time of resolution of thrombocytopenia was followed up retrospectively and grouped into weekly intervals. That is, if the time exceeds 4 weeks or a death ensues, the thrombocytopenia is labeled as unresolved. Results: Out of 2592 neonates admitted to NICU during the study period, neonatal thrombocytopenia was diagnosed in 366 (14%). The onset was early in the majority (281, 77%) and late in the remaining 85 neonates. Mild to moderate thrombocytopenia was the diagnosis in 294 (80%) and severe in the rest. Platelet count follow-up was obtained in 328 (90%), while 38 neonates (10%) had no subsequent count recorded. Slightly more than half of the followed neonates (170, 52%) had a normal platelet count by the end of the first week of life, while it normalized in 53 neonates (16%) within the second week, 17 (5%) in the 3rd, and 21 (6%) the 4th. week. For the remaining 67 (20%) neonates, they continued with unresolved thrombocytopenia. Conclusions: Early onset neonatal thrombocytopenia occurs commonly in NICU populations regardless of gestational age with a benign course and a predictable outcome. The majority of the population of neonates in the current study had a mild to moderate thrombocytopenia, which reverted to normal within the first week in half of the affected neonates. On the other hand, late onset thrombocytopenia was mostly severe, recovery was delayed and half of the affected neonates had unresolved thrombocytopenia. Keeping in mind the possibility of an overlap between the two patterns, neonatal thrombocytopenia which failed to conform to either pattern is likely to be a marker of significant pathology requiring more work up.
Retinopathy of prematurity in premature infants with severe Rhesus	Hemolytic Disease of the Newborn
Authors: Al-Alaiyan Saleh , Saidy Khaled , Al-Hazzani Fahad 
Published: December 2024

Objective: To examine the rate of retinopathy of prematurity in infants with severe Rhesus Hemolytic Disease of the Newborn (Rh HDN). Study design: This is a case-control study that involved 33 premature infants with severe Rh HDN were compared to another 33 premature infants without the disease. All infants underwent routine eye examinations by a senior ophthalmologist. Data collected from the records of all patients included demographic data and complications of prematurity. Results: Ten and 2 infants were diagnosed to have retinopathy of prematurity in the severe Rh HDN and the control groups, respectively, with a statistically significant difference (P = 0.0108). There were no statistically significant differences between patients and their controls in terms of birth weight, gestational age, sex, duration of oxygen therapy, and neonatal complications. A comparison between all infants with ROP and those without ROP showed that there were statistically significant differences in gestational age equal or less than 27 weeks' gestation, presence of patent ductus arteriosus, respiratory distress disease, duration of oxygen therapy and bronchopulmonary dysplasia. Another comparison was performed between infants with retinopathy of prematurity and those without ROP in the severe Rh HDN group showed that the number of intrauterine transfusions was more among infants who developed ROP (P = 0.002). In addition there was no statistically significant difference between the two groups in respect to exchange and simple transfusions. Conclusion: Premature infants with severe Rh HDN were found to be at risk of developing retinopathy of prematurity more than infants without the disease.
Upaya Pencegahan Penyakit Dbd Melalui Jumantik Di Sekolah Madrasah Aliyah Faqihul Ilmi
Authors: Sulasmi Sulasmi , Rachman Erwinda , Mulyadi Mulyadi , Ramli Alif , Mardiyanti Naila 
Published: December 2024

Demam Berdarah Dengue (DBD) merupakan salah satu masalah kesehatan di negara berkembang dan global. Penyakit DBD merupakan penyakit infeksi akut menular kepada manusia melalui perantara gigitan nyamuk Aedes yang mengandung virus dengue. Dinas Kesehatan Kota Makassar mencatat terjadi kenaikan kasus Demam Berdarah (DBD) di tahun 2024. Dimana, lonjakan kasus DBD terjadi di bulan Maret 2024 yakni 114 kasus. Sedangkan, di bulan Januari ada 47 kasus dan Februari sebanyak 74 kasus. Dengan adanya kasus tersebut, maka perlu adanya edukasi terus menerus mengenai bahaya DBD dan pencegahannya melalui JUMANTIK baik di masyarakat maupun di sekolah-sekolah. Pengabdian masyarakat dilakukan di sekolah Madrasah Aliyah Faqiul untuk menambah wawasan khususnya bagi siswa-siswi yang akan berperan aktif pada masa yang akan datang tercipta masyarakat yang lebih sehat dan terhindar dari penyebaran DBD. Metode yang digunakan melalui penyuluhan, tanya jawab. Serta melakukan pre test dan post test. Hasil penyuluhan mengalami peningkatan pengetahuan pada sasaran dari 56% meningkat menjadi 85% dalam menerapkan 3M. Sehingga disarankan guru dan staff berperan aktif dalam melaksanakan kebersihan lingkungan
Kata Kunci : DBD, 3 M Plus, JUMANTIK
Penyuluhan Perilaku Hidup Bersih Dan Sehat Pada Anak Sekolah Dasar
Authors: Arief Muh.Ikbal , Salzabilah Nadya 
Published: December 2024

Perilaku Hidup bersih dan sehat (PHBS) merupakan langkah yang harus dilakukan untuk mencapai derajat kesehatan yang optimal bagi setiap orang. Kondisi sehat tidak serta merta terjadi, tetapi harus senantiasa diupayakan dari yang tidak sehat menjadi hidup yang sehat serta menciptakan lingkungan yang sehat. Upaya ini harus dimulai dari menanamkan pola pikir sehat kepada masyarakat yang harus dimulai dan diusahakan oleh diri sendiri. Upaya ini adalah untuk mewujudkan derajat kesehatan masyarakat setinggi- tingginya sebagai satu investasi bagi pembangunan sumber daya manusia yang produktif. Sementara itu, kesadaran masyarakat akan kesehatan dan pola hidp bersih sehat, khususnya masyarakat desa masih sangat rendah. Untuk itu pemberian penyuluhan terkait Perilaku Hidup bersih sehat diharapkan dapat menjadi upaya menyadarkan masyarakat akan pentingnya melakukan upaya Perilaku Hidup bersih sehat dalam kehidupan sehari-hari sekaligus memberikan pengetahuan bagaimana cara merealisasikannya sehingga bisa terwujud masyarakat yang peduli sehat
Kata kunci: Perilaku Hidup bersih sehat, peduli sehat
Edukasi Pada Remaja Di Kelurahan Mandala Kota Makassar Tentang Pentingnya Pemeriksaan Hemoglobin Dan Leukosit Untuk Pencegahan Stunting
Authors: Armah Zulfian , Artati Artati , Budirman Budirman 
Published: December 2024

Pencegahan stunting pada remaja merupakan isu kesehatan yang penting, terutama di daerah perkotaan seperti Kelurahan Mandala, Kota Makassar. Pengabdian masyarakat ini bertujuan untuk memberikan edukasi kepada remaja mengenai pentingnya pemeriksaan hemoglobin dan leukosit sebagai langkah preventif dalam mencegah stunting. Metode yang digunakan adalah penyuluhan atau edukasi, wawancara, pemeriksaan hemoglobin dan leukosit. Lokasi penyuluhan dilakukan di kelurahan Mandala kota Makassar. Sebelum sosialisasi, dilakukan pre test untuk mengukur pengetahuan awal peserta, dengan hasil menunjukkan bahwa Pada saat pre-test tingkat pengetahuan remaja dengan kategori kurang adalah 16 orang (50%), sedangkan dengan kategori baik adalah 16 orang (50%). Setelah sosialisasi, pada saat post-test tingkat pengetahuan remaja dengan kategori kurang adalah sebanyak 1 orang (1,47%) dan dengan kategori baik adalah sebanyak 67 orang (98,53%).post test menunjukkan peningkatan pengetahuan yang signifikan, menunjukkan pemahaman yang baik mengenai pentingnya pemeriksaan hemoglobin dan leukosit. Sedangkan pemeriksaan Hemoglobin dan Leukosit dilakukan di laboratorium. Hasil pengabdian masyarakat meningkatkan pemahaman remaja di kelurahan Mandala kota Makassar tentang pentingnya pemeriksaan hemoglobin dan leukosit untuk pencegahan stunting. Hasil pemeriksaan hemoglobin dan leukosit yang normal (hemoglobin dan leukosit 100%). Implikasi dari kegiatan ini menunjukkan perlunya program berkelanjutan dalam bentuk edukasi rutin dan pemeriksaan kesehatan bagi remaja, sehingga kesadaran akan pentingnya asupan gizi dan kesehatan dapat terus dipelihara. Dengan demikian, diharapkan dapat tercapai zero stunting di kalangan remaja. Pengabdian masyarakat ini menyimpulkan bahwa edukasi kesehatan yang tepat dan berkelanjutan sangat diperlukan untuk meningkatkan kesadaran dan pemahaman remaja tentang pentingnya pemeriksaan hemoglobin dan leukosit dalam pencegahan stunting.
Kata kunci: Pemeriksaan Hemoglobin, pemeriksaan leukosit,remaja, stunting
Manfaat Penyuluhan Gizi Terhadap Peningkatan Pengetahuan dan Sikap Mengenai Konsumsi Tablet Tambah Darah Untuk Mencegah Anemia Pada Remaja Putri di SMP Negeri 35 Makassar
Authors: Sukmawati Sukmawati , Sirajuddin Sirajuddin 
Published: December 2024

Remaja putri sangat rentan terhadap anemia karena kurangnya asupan zat besi. WHO (2019) menyatakan angka kejadian anemia remaja putri dan wanita usia subur di dunia sebesar 81,5 %. Remaja putri yang mengkonsumsi Tablet Tambah Darah (Kemenkes, 2021) masih belum mencapai target yaitu 35,68% dari target Kementerian Kesehatan sebesar 52%. Berdasarkan data Dinas Kesehatan Provinsi Sulawesi Selatan jumlah remaja putri yang mengalami anemia sebesar 33,7%. Berdasarkan data cakupan remaja putri yang minum tablet tambah darah pada bulan April 2024 di Puskesmas Paccerakkang sebesar 70,8%. Cakupan ini masih jauh dari nilai target yaitu 100%. Diperlukan strategi dan kegiatan dalam meningkatkan kepatuhan remaja putri mengonsumsi tablet tambah darah dengan cara melakukan peningkatan pengetahuan dan sikap melalui penyuluhan gizi. Tujuan pengabdian masyarakat adalah untuk meningkatkan pengetahuan dan sikap mengenai konsumsi tablet tambah darah untuk mencegah anemia pada remaja. Tempat pelaksanaan kegiatan pengabdian masyarakat yaitu di SMP Negeri 35 Makassar. Waktu pelaksanaan kegiatan pengabmas tanggal 31 Juli 2024. Penyuluhan dilaksanakan dalam bentuk ceramah interaktif dan praktik langsung konsumsi tablet tambah darah, menggunakan media leaflet dan banner. Sasaran kegiatan penyuluhan adalah siswi kelas VII di SMP Negeri 35 Makassar. Jumlah sasaran sebanyak 40 orang. Hasil kegiatan pegabdian masyarakat, menunjukkan bahwa terjadi peningkatan pengetahuan, diamana sebelum penyuluhan hanya 4 siswi (10%) yang menjawab soal dengan benar, dan setelah penyuluhan semua siswi 40 (100%) menjawab soal dengan benar. Terjadi peningkatan/perbaikan sikap, diamana sebelum penyuluhan hanya 30 siswi (75%) yang menunjukkan sikap baik, dan setelah penyuluhan semua siswi 40 (100%) menunjukkan sikap baik. Program ini memberikan dampak langsung terhadap peningkatan literasi gizi dan kesadaran akan pentingnya pencegahan anemia di kalangan remaja putri.
Kata kunci: Anemia, Penyuluhan gizi, Pengetahuan, Sikap
Pemanfaatan BSF dalam Pengelolaan Sampah di Kawasan Permukiman Perkotaan
Authors: Novianti Diah , Rimbawati Endah , Judiono Judiono 
Published: December 2024

Permasalahan sampah merupakan masalah krusial karena cukup rumit dalam penanganan. Mengatasi masalah sampah memerlukan keterlibatan aktif beberapa aktor, yaitu sumber timbulan sampah antara lain rumah tangga dan industri serta pengelolaannya baik oleh kelompok masyarakat dan pemerintah. Salah satu metode pengolahan sampah organik adalah biokonversi dengan menggunakan Black Soldier Flies (BSF) yang dapat memberikan nilai ekonomi disamping kemampuan mereduksi sampah organik. Kecamatan Bubutan Kota Surabaya dengan timbulan sampah organik sebesar 30.420 ton per hari memerlukan telur BSF sebesar 2 kg/hari. Untuk budidaya BSF dengan hasil telur sebesar 2 kg/hari diperlukan lahan seluas 4.800 m2 pada tanah kosong yang masih tersedia seluas 17.507,62 m2. Dengan metode yang tepat budidaya tersebut akan menghasilkan maggot basah sebanyak 640 Kg/hari. Dengan harga jual maggot sebesar Rp.15.000/kg, maka nilai jual maggot basah yang dihasilkan oleh budidaya maggot tersebut sebesar Rp. 9,6 juta per hari. Budidaya maggot tersebut, selain dapat mereduksi sampah organik, dengan penyediaan lahan dan tenaga kerja yang terlatih dapat menghasilkan pemasukan yang cukup menguntungkan untuk menunjang biaya operasional. Bahkan masih dapat menyisakan margin keuntungan yang cukup besar, sebagai sumber pendapatan dalam APBD. Disamping itu, residu pengolahan sampah organik dengan menggunakan BSF juga dapat dimanfaatkan sebagai pupuk dengan kadar protein tinggi.
Hubungan Antara Pola Asuh Orang Tua dengan Perilaku Konsumsi Pornografi pada Remaja
Authors: Fairuzi Yafi Maulana , Cahyono Rudi 
Published: December 2024

Penelitian ini bertujuan untuk menganalisis hubungan antara Pola Asuh Orang Tua dan Perilaku Konsumsi Pornografi pada remaja di Indonesia. Pola Asuh didefinisikan sebagai serangkaian metode dan strategi yang diterapkan oleh orang tua dalam proses mengasuh, membimbing, dan mendidik anak, sementara Pornografi merujuk pada perilaku remaja untuk mengakses dan mengkonsumsi konten pornografi. Alat ukur yang digunakan dalam penelitian ini adalah Parental Authority Questionnaire (PAQ) untuk mengidentifikasi Pola Asuh, dan Skala Perilaku Konsumsi Pornografi untuk mengukur tingkat konsumsi Pornografi. Subjek yang terlibat di dalam penelitian ini adalah remaja laki-laki maupun perempuan, berusia 10-22 Tahun, tinggal Bersama orang tua, dan belum menikah. Hasil penelitian menunjukkan hubungan positif signifikan dengan konsumsi pornografi, pola asuh permisif yang menunjukkan hubungan positif lemah yang tidak signifikan, dan pola asuh demokratis menunjukkan hubungan negatif lemah yang tidak signifikan. Temuan ini mengindikasikan bahwa semakin tinggi tingkat Pola Asuh Otoriter yang diterapkan oleh orang tua, semakin tinggi pula Perilaku Konsumsi Pornografi pada remaja.
The Effect of Back Massage Using VCO (Virgin Coconut Oil) on Sleep Quality in the Elderly in Banjar Jambe Working Area of UPTD Puskesmas Utara
Authors: Mahayoni Anak Agung Ayu Agung Istri , Sari Ni Luh Putu Dian Yunita , Martini Ni Made Dwi Ayu , Wulandari Ni Putu Dita 
Published: December 2024

Poor sleep quality has physiological and psychological consequences, including weakness, elevated blood pressure, decreased activity, diminished endurance, emotional instability, and withdrawal. Sleep quality can be assessed using the Pittsburgh Sleep Quality Index questionnaire. Many things can be done to improve sleep quality in the elderly, one of which is back massage combined with VCO (Virgin Coconut Oil). This research aims to determine the effect of back massage using VCO (Virgin Coconut Oil) on sleep quality in the elderly. This is a pre-experimental study with a one-group pre-and post-test design. The sample for this study was drawn using a non-probability sampling technique, namely purposive sampling of 28 senior respondents who reported poor sleep quality. In bivariate analysis, the Wilcoxon signed rank test was employed to compare pretest and posttest scores. Based on the results of data analysis using the Wilcoxon Signed Range Test at a significance level of α = 0.05, a p-value of 0.000 < 0.05 was obtained. This shows that there is an effect of back massage using VCO (Virgin Coconut Oil) on sleep quality in the elderly in Banjar Jambe, Region Area of UPTD Puskesmas Kuta Utara. It is hoped that this research can be used for health services, nursing education and the community to overcome sleep disorders in the elderly.
Nutritional potential value of Sesbania grandiflora (L.) Pers., La-blab purpureus (L.) Sweet, and Vigna radiata (L.) Wilczek in two sowing methods
Authors: Ramírez-Guerrero Nahomi Jael , Ail-Catzim Carlos E. , Galicia-Juárez Marisol , Velasco-López José Luis , Cisneros-López Ma. Eugenia , Grimaldo-Juárez Onécimo 
Published: December 2024

Objective: To evaluate the agronomic performance and nutritional potential of Sesbania grandiflora, Lablab purpureus, and Vigna radiata in two sowing methods.
Design/methodology/approach: The morphological and bromatological parameters of leaves and stems of S. grandiflora, L. purpureus, and V. radiata sown flat and in beds were determined. The forages of leaves and stems of the three species were classified according to their quality parameters. Data for morphological and bromatological parameters were analyzed with a completely randomized design with a 3x2 factorial arrangement and least squares means were compared with Tukey (p<0.05).
Results: Sesbania grandiflora in flat and bed sowing presented greater height, higher percentage of leaf dry matter, and percentage of stem dry matter. While V. radiata in flat sowing presented greater plant weight, leaf weight and stem weight. Sesbania grandiflora leaf forages in flat and bed sowing obtained a higher percentage of crude protein, while V. radiata in flat and bed sowing obtained a lower percentage of neutral detergent fiber. For stem forage, the three species in flat and bed sowing presented high percentage values of neutral detergent fiber and acid detergent fiber. The leaf forages in bed sowing were classified as excellent quality, as were the leaf forages of S. grandiflora and V. radiata in flat sowing, which also had excellent quality.
Findings/conclusions: The forage of S. grandiflora leaves in flat and bed sowing was of excellent quality, related to its higher percentage of dry matter and crude protein and its lower percentage of neutral detergent fiber and acid detergent fiber.