bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sleep Duration Patterns in Early to Middle Adulthood and Subsequent Risk of Type 2 Diabetes in Women
Authors: Baden Megu Y. , Hu Frank B. , Vetter Celine , Schernhammer Eva , Redline Susan , Huang Tianyi 
Published: March 2020

OBJECTIVETo identify sleep duration trajectories from early to middle adulthood and their associations with incident type 2 diabetes.RESEARCH DESIGN AND METHODSUsing a group-based modeling approach, we identified sleep duration trajectories based on sleep duration in ages 20–25, 26–35, 36–45, and 46+ years, which were retrospectively assessed in 2009 among 60,068 women from the Nurses’ Health Study II (median age 54.9 years) who were free of diabetes, cardiovascular disease, and cancer. We investigated the prospective associations between sleep duration trajectories and diabetes risk (2009–2017) using multivariable Cox proportional hazards models.RESULTSWe documented 1,797 incident diabetes cases over a median follow-up of 7.8 years (442,437 person-years). Six sleep duration trajectories were identified: persistent 5-, 6-, 7-, or 8-h sleep duration and increased or decreased sleep duration. After multivariable adjustment for diabetes risk factors, compared with the persistent 7-h sleep duration group, the hazard ratio was 1.43 (95% CI 1.10, 1.84) for the 5-h group, 1.17 (1.04, 1.33) for the 6-h group, 0.96 (0.84, 1.10) for the 8-h group, 1.33 (1.09, 1.61) for the increased sleep duration group, and 1.32 (1.10, 1.59) for the decreased sleep duration group. Additional adjustment for time-updated comorbidities and BMI attenuated these associations, although a significantly higher risk remained in the decreased sleep duration group (1.24 [1.03, 1.50]).CONCLUSIONSPersistent short sleep duration or changes in sleep duration from early to middle adulthood were associated with higher risk of type 2 diabetes in later life. These associations were weaker after obesity and metabolic comorbidities were accounted for.
Young Adults With Type 1 Diabetes Preparing to Transition to Adult Care: Psychosocial Functioning and Associations With Self-Management and Health Outcomes
Authors: Gutierrez-Colina Ana M. , Corathers Sarah , Beal Sarah , Baugh Holly , Nause Katie , Kichler Jessica C. 
Published: March 2020

BACKGROUND | Young adulthood is a vulnerable developmental period associated with increased risk for suboptimal health outcomes in youth with type 1 diabetes. Psychosocial factors have been associated with self-management and glycemic control in younger populations, but the extent to which these associations exist among young adults is poorly understood. This study aimed to examine the psychosocial functioning of young adults with type 1 diabetes and associated clinical outcomes.
METHODS | Participants included young adults (n = 44) between the ages of 18 and 23 years in a pediatric setting who were preparing to transition to adult care. All participants completed self-report measures of psychosocial functioning at baseline as part of this longitudinal observational study. Outcome data included glycemic control, frequency of blood glucose monitoring, and self-management ratings at baseline and 1-year follow-up.
RESULTS | Young adults with type 1 diabetes reported higher levels of depressive symptoms, lower self-efficacy, and more risk behaviors compared with previously published scores for adolescents. Young adults also reported greater resilience and transition readiness than their younger counterparts. Psychosocial variables were differentially related to glycemic control and frequency of blood glucose monitoring both cross-sectionally and longitudinally.
CONCLUSION | This study provides key information about the psychosocial functioning of young adults with type 1 diabetes. It identifies relevant psychosocial factors that are associated with meaningful health outcomes during the transition preparation period. These findings may inform the development of clinical programs aimed at promoting transition preparation and health outcomes in young adults with type 1 diabetes.
PENGEMBANGAN KERUPUK PENTOL IKAN DI DESA LEGUNG TIMUR KECAMATAN BATANG-BATANG
Authors: Kurdi Moh. , Fatmawati Fatmawati 
Published: March 2020

Desa Legung Timur merupakan salah satu sentra pengrajin kerupuk pentol yang berbahan dasar ikan di Kecamatan Batang-batang Kabupaten Sumenep. Kerupuk pentol ikan yang diproduksi oleh masyarakat mayoritas dalam bentuk ‘mentah’ yang harus melalui proses penjemuran terlebih dahulu untuk kemudian digoreng. Bahan baku pembuatan kerupuk pentol berupa ikan sangat melimpah di desa ini dan sebagian besar masyarakatnya bermata pencaharian sebagai nelayan. Ikan yang digunakan untuk bahan baku pembuatan kerupuk adalah ikan tongkol. Sebagian besar, hasil produksinya dijual di rumah mereka sendiri dengan menunggu konsumen datang untuk membeli ataupun dibeli kerabat sendiri untuk oleh-oleh. Beberapa situasi yang dialami pengrajin kerupuk di Desa Legung Timur tersebut diatas menjadi penyebab bahwa mereka membutuhkan pelatihan dan pendampingan mengenai cara pengadonan dan pencetakan kerupuk, penyeragaman kuantitas, teknologi kemasan dan pelabelan. Perbaikan kualitas produksi akan meningkatkan produktivitas kerja dengan waktu yang lebih efisien dan kapasitas produksi yang bertambah, serta produk yang mempunyai daya jual dan daya saing lebih tinggi di pasaran. Dari hasil pelaksanaan Pengabdian kepada masyarakat Usaha Kerupuk di Desa Legung Timur Kecamatan Batang-batang Kabupaten Sumenep telah dapat dijalankan dengan baik dan tanpa halangan yang berarti. Dengan kerjasama tim pengabdian yang baik dan peran serta aktif dari penyuluh/narasumber dalam kegiatan pengabdian ini maka semuanya telah berjalan sesuai yang diharapkan dan harapannya dapat memberikan manfaat bagi mitra pengabdian kepada masyarakat dalam keberlanjutan usaha kerupuk pada mitra pengrajin kerupuk. Pengabdian yang kami lakukan ini telah sampai pada tahapan dilaksanakannya kegiatan pelatihan tentang proses produksi yang efisien.
SOSIALISASI DAN PENDAMPINGAN SADAR ARSIP DI LINGKUNGAN UNIVERSITAS WIRARAJA
Authors: Tina Roos Yulias , Isyanto Isyanto , Alfiyah Nur Inna 
Published: March 2020

Kurangnya kesadaran arsip di kalangan masyarakat khususnya di suatu lembaga maupun instansi-instansi merupakan salah satu gambaran bahwa selama ini arsip dianggap kurang penting. Sedangkan arsip merupakanrekaman kegiatan atau peristiwa dalam berbagai bentuk dan media sesuai dengan perkembangan teknologi informasi dan komunikasi yang dibuat dan diterima oleh lembaga negara, pemerintah daerah, lembaga pendidikan, perusahaan, organisasi politik, organisasi kemasyarakatan, dan perseorangan dalam pelaksanaan kehidupan bermasyarakat, berbangsa dan bernegara. (UU43/2009, psl 1 angka 2).
Dalam program kegiatan yang dilakukan dimulai dari tahap persiapan tahap sosialisasi dan pengenalan mengenai pentingnya sadar arsip tahap pengimplementasian tahap pendampingan dan terakhir yaitu tahap evaluasi. Dari beberapa tahapan tersebut telah mampu membantu pencapaian tujuan lebih meningkatkan kesadaran mengenai pentingnya arsip bagi seluruh karyawan serta membantu pengelolaan arsip di setiap fakultas di Universitas Wiraraja.
IMPACT OF PREOPERATIVE STENT ON RETROGRADE INTRARENAL SURGERY OUTCOMES
Authors: ÖZTEKİN Ünal , CANİKLİOĞLU Mehmet , SARI Sercan , GÜREL Abdullah , SELMİ Volkan , IŞIKAY Levent , ATAÇ Fatih 
Published: March 2020

Objective: Retrograde intrarenal surgery is commonly indicated for the treatment of 10-20 mm ureteral and renal stones. Sometimes, primary retrograde endoscopy is not possible. Pre-stenting may facilitate passage of ureteroscope or ureteral access sheath in these cases. This study aimed to assess the impact of preoperative ureteral stenting on the outcomes of retrograde endoscopic stone surgery. Material and Methods: A database of patients who underwent retrograde intrarenal surgery for proximal ureteral or renal calculi between January 2015 and October 2018 was analyzed. Sixty-seven patients had a ureteral stent preoperatively (Group 1). Control group (Group 2) consisting of 67 patients were chosen among the rest of the database with similar characteristics. Preoperative, intraoperative and postoperative data of two groups were compared. Results: There were no statistically significant differences in demographic and preoperative features between the two groups except for previous stone surgery. Overall complication rate, stone free rate, operation time and postoperative double J placement rate were similar between two groups. Most of the complications were low grade for both groups. In group 2 ureteral stricture was seen in two patients.Conclusion: Retrograde intrarenal surgery, Preoperative stent, Stone, Stone free rate, Double J stent.
YUMURTA AKININ PIA, ARAKNOID VE DURA TAMİRİNDE KULLANIMI; DENEYSEL ÇALIŞMA
Authors: ÇOKLUK Cengiz , ALTUN Adnan 
Published: March 2020

Amaç: Nöroşirürjikal temel cerrahi girişimler santral sinir sistemini çepeçevre saran pia - araknoidal ve dural zarların uygun bir şekilde açılmalarını ve cerrahi girişimin tamamlanmasını takiben de sıvı sızdırmaz olarak kapatılmasını gerektirir. Bu çalışmanın temel amacı pia -arachnoidal ve dural zarların onarılmasında ovalbumin ve ovamucoid içeriği zengin yumurta beyazının kullanılabilirliğinin incelenmesidir. Gereç ve Yöntemler: Bu deneysel çalışmada 4 adet taze dana beyni kadavrası kullanıldı. Beyinlerin frontal ve parietal loblarında dura 2 santimetre kadar kesilerek toplam 16 adet kesi alanına yumurta akı dura kesisi üzerine ince bir şerit olarak uygulandı. Aynı işlem pia-araknoid zar için yapılan 1.5 cm kesiler için yapıldı. Yumurta akının koagulasyonu ile yapıştırılan kesi alanlarından ince kesitler alınarak histopatolojik olarak incelendi. Dura ve pia-araknoid zarın üstüne uygulanan yumurta akının koagulasyon sonrasında su geçirmezliği ise mikroksop altında yapılan mekanik testler ile değerlendirildi.Bulgular: Histopatolojik incelemeler de kesi alanına tatbik edilen yumurta akında bulunan ovalbumin ve ovamukoid proteinlerinin koagulasyonunun kesilen beyin zarlarında yapıştırıcı etkisinin olduğu gösterildi. Ayrıca yumurta akı içeriklerinin fibroz dokulara yapışarak koruyucu özellik sağladığı ve mekanik testlerde sıvı geçişini engellediği gözlendi.Sonuç: Bu deneysel eğitim modelinin, beyin cerrahisinde dura ve pia-araknoid onarımda katkı sağlayacağını düşünmekteyiz. Ayrıca yumurta akı üzerinde yapılacak çalışmaların gelecekte doku yapıştırıcısı, mekanik bariyer ve doku tamiri için sistemlerin gelişmesine katkıda bulunabileceğini düşünmekteyiz. Ancak klinik pratikte yumurta akı içeriklerinin yer alabilmesi için oldukça detaylı histopatolojik ve biyokimyasal çalışmaların canlı deney hayvanları üzerinde yapılmasına ihtiyaç duyulmaktadır.
Composition of ready-to-eat-cereals and their eligibility for marketing to children. How much does Cyprus deviate from the WHO Nutrient Profile Model?
Authors: Antoniou Stella , Hadjimichael Georgia , Tselengidis Arsenios , Beeks Victoria Virginia 
Published: March 2020

Background: Governments have introduced legislative activities, such as restricting marketing to children of foods high in fat, sugar and/or salt, to curb the childhood obesity burden. In the European Region, the World Health Organization (WHO/Europe) has facilitated them with the development of the Nutrient Profile Model (WHO/Europe-NPM). Cyprus is the country with the highest childhood obesity rates in the Region. Nonetheless, it does not currently restrict marketing to children. The purpose of this study is to evaluate the composition of ready-to-eat-cereals (RTECs), a fat, sugar and/or salt dense food product category on the Cypriot market and to examine whether the marketing of these products to children should be permitted according to the WHO/Europe-NPM.
Methods: Two hundred RTEC samples from four national food retailers were collected from March to April 2018. The samples were assessed for their nutritional quality with the use of the WHO/Europe-NPM and statistical comparisons were performed between child-targeted and non-child-targeted RTECs.
Results: The average content of sugar and salt was significantly higher in “child-targeted” than in “non-child-targeted” RTECs. 87.3% of the “child-targeted” RTECs would not be permitted for marketing to children according to the WHO/Europe-NPM and 73.5% of the overall sample exceeded at least one of the WHO/Europe-NPM recommendations for fat, sugar and/or salt.
Conclusions: In case of the implementation of any marketing restriction legislation domestically in the future, most of the RTECs currently sold in Cyprus would not be permitted to be marketed to children according to the WHO/Europe-NPM. Incorporating marketing restrictions in the health policy agenda and adopting the WHO/Europe-NPM may improve the childhood obesity rates in Cyprus.
MENINGKATKAN KECERDASAN NATURALIS ANAK USIA 4-6 TAHUN MELALUI BERMAIN PERAN DI TAMAN KANAK-KANAK ISLAMIYAH PONTIANAK TENGGARA
Authors: Agustini Maulia Dwi , Somantri Elin B , Diana Diana 
Published: March 2020

Penelitian ini berdasarkan tingkat kecerdasan naturalis anak yang belum optimal untuk menghubungkan benda alam dan lingkungan sekitar karena belum mengenal, memahami serta membedakan jenis tumbuhan. Meningkatkan kecerdasan naturalis anak di Taman Kanak-Kanak Islamiyah peneliti menggunakan pembelajaran bermain peran. Tujuan penelitian adalah untuk mengetahui dan mendiskripsikan perencanaan, pelaksanaan, dan hasil peningkatan tingkat kecerdasan naturalis anak melalui bermain peran di Taman Kanak-Kanak Islamiyah. Metode yang digunakan dalam penelitian ini adalah metode deskriptif, dengan menggunakan pendekatan penelitian yaitu pendekatan kualitatif dan jenis penelitian yang digunakan adalah Penelitian Tindakan Kelas (classroom Action Research). Adapun subjek penelitian dalam penelitian ini 12 orang anak dan 2 orang guru, teknik pengumpulan data yang digunakan ialah teknik observasi, teknik wawancara, dan teknik dokumentasi, dengan alat pengumpulan data berupa lembar observasi anak dan guru, pedoman wawancara, buku-buku, surat, dokumen resmi, portofolio,foto. Teknik pemeriksaan keabsahan menggunakan analisis data dan triangulasi, dan indikator kinerja. Hasil penelitian menunjukan terjadinya peningkatan pada siklus I di lima indikator BSB 0%, sedangkan pada siklus II di lima indikator BSB meningkat menjadi 16,66%. Siklus III di lima indikator BSB meningkat menjadi 80,01% mencapai ketetapan indikator 80%. Hal ini menunjukkan dengan bermain peran dapat meningkatkan kecerdasan naturalis anak.
Підходи до визначення кількісних показників штатної чисельності служб (підрозділів) персоналу Збройних Сил України
Authors: Думенко М.П. , Садикова В.В. 
Published: March 2020

Статтю присвячено проблемі визначення потреби чисельності служб (підрозділів) персоналу у співвідношенні до штатної чисельності особового складу підрозділів, військових частин, органів військового управління Збройних Сил України (далі – ЗС України) в умовах особливого періоду та мирного часу. Підхід до обґрунтування чисельності служб (підрозділів) персоналу проведено з урахуванням інформації щодо функціонування служб персоналу збройних сил розвинених країн світу, країн-членів НАТО тощо; досліджень науковців у зазначеній галузі; врахування співвідношення відповідальних за кадрову роботу до орієнтовного загальноприйнятого показника кількості людського ресурсу. Обґрунтуванням чисельності служб (підрозділів) персоналу було надано можливість окреслити їх спроможність до виконання завдань за призначенням.
ASAS KEPASTIAN HUKUM DALAM IMPLEMENTASI PUTUSAN MAHKAMAH KONSTITUSI BERBENTUK PERATURAN LEMBAGA NEGARA DAN PERATURAN PEMERINTAH PENGGANTI UNDANG-UNDANG
Authors: Indratanto Samudra Putra , Nurainun Nurainun , Kleden Kristoforus Laga 
Published: March 2020

The implementation of Constitutional Court Decisions often creates polemics in the Indonesian Constitutional System, especially those relating to the Implementation of Constitutional Court Decisions related to Ministries / Institutions where in implementing Constitutional Court Decisions can only be done through legal products issued internally by ministries / institutions related and often overlaps with legislation that has not been amended. This is caused by the relevant Ministries / Institutions not having the authority to make changes to the Law in which the authority is owned by the President as the executive and the House of Representatives as the legislative. While the Court's Decision The constitution often has a direct impact and can bring great changes to the people in obtaining justice. This type of research is used Normative Juridical Research Method, namely by examining library materials. This study uses a philosophical approach because the object of the study examines the principle of legal certainty in the implementation of the Constitutional Court's decision through the regulation of state institutions and Perppu. In addition, the legislative approach is also used to find out the reasons for the Constitutional Court's decisions that often overlap in implementation.Implementasi Putusan Mahkamah Konstitusi seringkali menimbulkan polemik dalam Sistem Ketatanegaraan Indonesia,terutama yang berkaitan dengan Pelaksanaan Putusan Mahkamah Konstitusi yang terkait dengan Kementerian/Lembaga yang di mana dalam melaksanakan Putusan Mahkamah Konstitusi hanya dapat dilakukan melalui produk-produk hukum yang dikeluarkan secara internal oleh kementerian/lembaga terkait dan seringkali mengalami tumpang tindih dengan Peraturan Perundang-undangan yang belum mengalami perubahan.Hal ini disebakan Kementerian/Lembaga terkait tidak mempunyai kewenangan dalam melakukan perubahan Undang-undang yang di mana kewenangan tersebut dimiliki oleh Presiden sebagai eksekutif dan DPR selaku legislatif.Sedangkan Putusan Mahkamah Konstitusi seringkali berdampak langsung dan dapat membawa perubahan besar bagi rakyat dalam memperoleh keadilan. Jenis Penelitian yang digunakan Metode Penelitian Yuridis Normatif, yaitu dengan meneliti bahan kepustakaan. Penelitian ini menggunakan pendekatan filosofis karena objek penelitian mengkaji asas kepastian hukum dalam implementasi putusan MK melalui peraturan lembaga negara dan perppu. Di samping itu, juga digunakan pendekatan perundang-undangan untuk mengetahui alasan putusan MK seringkali mengalami tumpang tindih dalam implementasi.
PATTERN OF BIOCHEMICAL PARAMETERS IN OBESE AND NON-OBESE TYPE II DIABETIC PATIENTS ATTENDING MEDICINE OUTDOOR OF A TEACHING HOSPITAL IN KOLKATA: AN OBSERVATIONAL STUDY
Authors: Bhattacharyya Dr. Agnihotri , Kar Dr. Kaushik 
Published: March 2020

Introduction: The diagnostic parameters of diabetes in obese and non obese individuals might not be always same because the physiological basis of developing diabetes in them is not similar.
Objectives: The present study has been done to assess any significant difference in the Clinical and Biochemical parameters of diabetes like Glycosylated Haemoglobin (HbA1C), Fasting and Post prandial Blood Sugar (FBS and PPBS) among obese and non obese Type II Diabetes patients.
Methodology: The present study was undertaken in the Medicine Outdoor of Calcutta National Medical College during June to August 2018 among 100 Type II Diabetes Mellitus patients of both sexes and aged 18 or above prior to an informed consent. Any significant difference in the Clinical and Biochemical parameters of diabetes among different groups of Diabetic patients as per BMI and waist circumference was assessed. Data was analyzed by standard statistical software like SPSS version 20 with proportion and percentage and using parametric and non-parametric tests like Chi-squares and ANNOVA.
Result: The study reveals that 30% of the study population has BMI 25-29.99 kg/m2, 9% has 30-34.99 kg/m2 and 3% have BMI between 35-39.99 kg/m2 and 83.67% of Males and 96.07% of females have increased Waist Circumference Complications like Diabetic Nephropathy, Retinopathy, Neuropathy and Foot ulcer etc was found in 61% of the study population. There is significant difference in mean values of Glycosylated Haemoglobin, fasting blood sugar and post prandial blood sugar in the different groups of BMI. 32.78% of patients with complications of Diabetes Mellitus have BMI>24.99 and this association is statistically significant.
Conclusion: The present study has found significant difference of the mean values of diagnostic parameters of diabetes in different groups according to Body Mass Index. However the study was performed with the population who were already on treatment for some duration, so there can be a variation of findings in the present study from other studies done in different settings like primary care hospitals or with patients at onset of diabetes.
Key words: Diabetes, Glycosylated Haemoglobin, Fasting blood sugar, Post prandial blood sugar
SINGLE INCISION LAPAROSCOPIC ASSISTED APPENDECTOMY IN VEDANTA INSTITUTE OF MEDICAL SCIENCES, AN EXPERIENCE OF 50 CASES.
Authors: Shrivastava Dr. Rajesh Kumar P. 
Published: March 2020

Introduction: Laparoscopic appendectomy (LA) has advantage to diagnose and to also treat appendicitis at the same time also it has a less postoperative pain and a faster return to work and normal activity. In a classic LA, three to four incisions are required for trocars placement. Technique of Single Incision Laparoscopic Appendicectomy (SILA) has been developed to reduce abdominal trauma, improve cosmesis, reductions in postoperative pain and hospital stay. Aim of this prospective study was to test the feasibility, safety and potential advantages of SILA
Material and Methods: Patients over the age of 18 with a diagnosis of acute abdomen, later on confirmed to acute appendicitis based on clinical findings, imaging and laboratory tests were included in the study. Outcome of the patient was assessed in the form of operative time, length of hospital stay and postoperative complications. Prophylactic antibiotics were given pre-operatively to all the patients included in the study. Technique was evaluated for operative time, post-operative pain, post-operative length of stay and complication rate. Post-operative pain was evaluated at 12 hrs, day 1 and day 2 post-operatively by using a visual analogue scale (VAS) which ranged from 0 to 10. Patients were evaluated on the 7th and 14th postoperative day for analysis of recovery, any surgical site infection, abscess formation, abdominal tenderness and aesthetic satisfaction.
Results: Mean age in years was 27±10.48 tears. There were 22 (44%) male and 28(56%) female. Mean duration of SILA procedure was 38±3.8 minutes. Hospital stay in days was 1.8±1.1. Patient returned back to work in 9±2.4 days. Post-operative pain was evaluated at 12 hrs, day 1 and day 2 post-operatively by using a visual analogue scale (VAS) which ranged from 0 to 10. After 12 hours score was 6.5, at day 1 4.0 and at day 2 it was 1.5.
Conclusion: Single incision appendicectomy operative time is less, pain is less and hospital stay is reduced thereby increasing the patient satisfaction and this technique is effective in terms of pain and hospital stay.
Keywords: LA, SILA, VAS