bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tren cakupan Inisiasi Menyusu Dini dan ASI Ekslusif di wilayah kerja Puskesmas Parongil, Kabupaten Dairi, Sumatera Utara.
Authors: Sinaga Haripin Togap 
Published: August 2021

Background. Pandemic of Covid-19 has claimed millions of human lives and affected all aspects of human life including the implementation of early initiation of breastfeeding (EBF) and exclusive breastfeeding (EBF) due to prolonged lockdown. Around two-thirds of infant death happened in neonatal age as the result of low practices the early initiation of breastfeeding and not exclusively breastfeed. Public health center has tasks to run health community program to reach the coverage of 50% EIBF and EBF. This study aimed to analyze the trend of prevalence of EIBF and EBF coverage from 2017 to 2020. Method. The study was a cross-sectional study using secondary data taken from Parongil Public Health Center, Dairi District. Data on the number of neonatal and babies aged 0-6 months and coverage EIBF and EBF were taken from the monthly report. Prior to processing the data, validation was conducted. Data was presented in the univariate table in frequency distribution and proportion. Trends of EIBF and EBF coverage were presented inline graphics. Results. The trend of prevalence of EIBF had been increasing from year 2017 to 2020 that was from 77.4% to 81.6% while EBF tended to decreasing from 45% to 40.0%. Pandemic Covid-19 might not have affected the coverage of EIBF and EBF. Factors of low education level worked as farmers, low income, low husband support, and no breastfeeding counselors were the main causes of low gaining of EBF.
FAKTOR RESIKO PENYAKIT TB (TUBERKULOSIS) DI KECAMATAN KABANJAHE KABUPATEN KARO TAHUN 2021
Authors: Tanbunan Helfi Nolia , Tanjung Risnawaty , Sihombing Nurmala Hayati , Sinaga Jernita 
Published: August 2021

Tuberculosis (TB) is a direct infectious disease caused by TB (mycobactic tuberculosis) germs. The disease is still in the attention of the world and until now, there are no one neither country free from TB. Deli Serdang regency is an regency with the highest Tuberculosis case discovery in North Sumatra Province.
This study was observational research with the design of study control cases, in order to determine the characteristics of the patient and the risk factor for the tuberculosis incident. The number of samples is 45 cases and 45 controls.
The characteristic association and risk factors with the incidence of tuberculosis were analyzed in univariat and bivariat, Analysis is carried out using cross-con 2x2 to calculate the value of prevalen ratios and confidence values (CI). Statistical test used for analysis is chi square at the trust rate 95% (? = 5%).
The results of the lighting study are obtained from the value of OR 0.348, CI 0.144 - 0.840 and p-value 0,031. Residence density obtained from the OR 0.35 CI 0.142 - 0.700 p-value 0.020 and Venting obtained from the OR 0,348 CI 0,144 – 0,840 p-value 0.031. Lighting, venting, and residence density have a relation with the incident TB in Kabanjahe District, while the variables with no relation are temperature, moisture and house floor condition.
KONSUMSI MAKANAN CEPAT SAJI PADA REMAJA DI SURABAYA
Authors: Astrida Budiarti  , Margaretha Patri Pal Utami  
Published: August 2021

ABSTRAK
Tingkat kesibukan masyarakat membuat masyarakat menyukai sesuatu yang praktis, termasuk dalam pemilihan makanan. Makanan cepat saji sangat mudah di jumpai sehingga banyak orang menyukainya. Disisi lain, kandungan gizi makanan cepat saji yang tidak seimbang akan menimbulkan masalah gizi, dan merupakan faktor risiko berat badan lebih atau obesitas serta berbagai penyakit degeneratif. Perilaku ini tentunya sangat berbahaya jika dimiliki oleh remaja, karena dampak negatifnya akan didapatkan sekarang maupun jangka panjang yang akan menurunkan kualitas kesehatan bangsa. Tujuan dari penelitian ini adalah memberikan gambaran konsumsi makanan cepat saji dan kejadian obesitas pada remaja di Surabaya. Metode penelitian ini menggunakan studi Analisis Observasional pendekatan Cross Sectional. Populasi adalah remaja SMP di Surabaya dengan jumlah sampel sebanyak 166 orang. Cara pemilihan sampel dengan probability sampling yaitusecara cluster sampling. Alat pengambilan data adalah menggunakan kuesioner JFIM (Junk Food Intake Measure). Hasil penelitian menunjukkan bahwa mayoritas remaja sebesar 84,3% mengkonsumsi makanan cepat saji dengan frekuensi yang tinggiserta terdapat hubungan antara konsumsi makanan cepat saji dengan kejadian gizi lebih (p = 0,037). Perlu kerjasama yang baik antara pihak sekolah dan Puskesmas dalam mengedukasi remaja tentang bahaya mengkonsumsi junkfood dalam frekuensi yang tinggi. Selain itu penting juga untuk memberikan edukasi kepada orang tua agar menyediakan makanan yang sehat dirumah. Peran sekolah juga sangat penting dalam menyediakan kantin sehat, sehingga gerakan masyarakat sehat yang dicanangkan pemerintah bisa terdukung dengan baik.
IMPLEMENTASI METODE UCD ( USER CENTERED DESIGN) PADA RANCANG BANGUN SISTEM INFORMASI PERPUSTAKAAN (STUDI KASUS SMK NEGERI 1 GELUMBANG)
Authors: Khana Khana Wijaya 
Published: August 2021

Perpustakaan Berperan penting dalam memajukan lebaga pendidikan karena perpustakaan merupakan tempat untuk meningkatkan ilmu pengetahuan bagi siswa. Pada perpustakaan SMK Negeri 1 Gelumbang proses yang sedang berjalan seperti pendaftaran anggota, penginputan data calon anggota, peminjaman dan pengembalian buku, penginputan data buku dan katalog buku masih ditulis dalam buku besar. Menghindari keterlambatan dalam sistem pelayanan perpustakaan SMK Negeri 1 Gelumbang, maka sangat diperlukan sistem informasi perpustakaan yang dapat membantu dan mempermudah kegiatan sirkulasi buku. Pada sistem informasi perpustakaan SMK Negeri 1 Gelumbang inimenggunakan metode UCD (User Centered Design) dan UML (Unified Modeling Language) serta untuk bahasa pemrograman menggunak PHP dengan database MySQL.
Elemental Abundances of the Hot Atmosphere of Luminous Infrared Galaxy Arp 299
Authors: Mao Junjie , Zhou Ping , Simionescu Aurora , Su Yuanyuan , Fukazawa Yasushi , Gu Liyi , Akamatsu Hiroki , Zhu Zhenlin , de Plaa Jelle , Mernier François , Kaastra Jelle S. 
Published: August 2021

Abstract
Hot atmospheres of massive galaxies are enriched with metals. Elemental abundances measured in the X-ray band have been used to study the chemical enrichment of supernova remnants, elliptical galaxies, groups, and clusters of galaxies. Here we measure the elemental abundances of the hot atmosphere of luminous infrared galaxy Arp 299 observed with XMM-Newton. To measure the abundances in the hot atmosphere, we use a multi-temperature thermal plasma model, which provides a better fit to the Reflection Grating Spectrometer data. The observed Fe/O abundance ratio is subsolar, while those of Ne/O and Mg/O are slightly above solar. Core-collapse supernovae (SNcc) are the dominant metal factory of elements like O, Ne, and Mg. We find some deviations between the observed abundance patterns and theoretical ones from a simple chemical enrichment model. One possible explanation is that massive stars with M
⋆ ≳ 23–27 M
⊙ might not explode as SNcc and enrich the hot atmosphere. This is in accordance with the missing massive SNcc progenitors problem, where very massive progenitors M
⋆ ≳ 18 M
⊙ of SNcc have not been clearly detected. It is also possible that theoretical SNcc nucleosynthesis yields of Mg/O yields are underestimated.
COVID-19 Vaccination Efforts: Is Afghanistan Prepared?
Authors: Wardak Mohammad Faisal , Rahimi Ali , Ahmadi Attaullah , Madadi Shekiba , Arif Shamim , Nikbin Aziz Mahmood , Nazari Ghulam Ali , Azizi Ahmad Tariq , Mousavi Sayed Hamid , Lucero-Prisno Don Eliseo 
Published: August 2021

ABSTRACT.
A country’s preparedness for a prompt and successful implementation of vaccination programs plays a pivotal role in disease control and prevention. As it stands now, Afghanistan seems to be ill-prepared to embrace a successful implementation of the COVID-19 vaccination program because of a spate of challenges. These include, but are not limited to, the insufficient number of vaccinators, a dearth of fully integrated functioning cold chain, challenging geographical barriers, cultural issues, insecurity, and protracted conflict. The COVID-19 infodemic along with vaccine mistrust in the country will lead to a pervasive public vaccine hesitancy in Afghanistan, which will present serious obstacles to the COVID-19 immunization efforts. The politicization of the Ministry of Public Health (MoPH) and the complaints of embezzlement and misuse of the pandemic aid have already eroded public trust during the pandemic. To ensure a large-scale and equitable distribution of COVID-19 vaccines, the cold chain infrastructure should be strengthened, and the immunization personnel trained. Antivaccination propaganda and misinformation should be tackled with effective communication approaches and effective community engagement, which consider culturally relevant messages appropriate to the culture and people. The allegations of corruption should be addressed to revive public trust in public health interventions, including COVID-19 vaccination.
Efeito de diferentes períodos de cultivo na micropropagação de brotações de Luehea divaricata
Authors: Silva Karol Buuron da , Reiniger Lia Rejane Silveira , Rabaiolli Silvia Machado dos Santos , Ziegler Ana Cristina da Fonseca , Stefanel Charlene Moro 
Published: August 2021

O objetivo do presente trabalho foi avaliar o efeito do período de cultivo na micropropagação de brotações de Luehea divaricata. Os tratamentos foram compostos pelos períodos de cultivo in vitro: 14; 21; 28; 40; 56; 70; 84; 102; 116; 130; 154, 186 ou 200 dias, sem realizar subcultivo ou transferência para outro meio nutritivo fresco. A sobrevivência e o estabelecimento ficaram em torno de 90% até 84 dias de cultivo. A partir deste período, a mortalidade foi mais acentuada. Para as variáveis número total de folhas e folhas com senescência, o período de cultivo de 56 dias foi o que mostrou uma proporção mais adequada, em que para cada nove folhas formadas apenas uma estava senescente. Em relação à formação de raízes primárias, médias superiores a 50% foram observadas após 70 dias de cultivo in vitro, chegando aos melhores resultados (60%) aos 200 dias. Para raízes secundárias, as maiores médias foram observadas após 102 dias (41,5%), alcançando 45,3% aos 200 dias. A micropropagação de Luehea divaricata é afetada significativamente pelo período de cultivo in vitro, que pode ser estendido até aproximadamente 60 dias. A partir desse período, são registradas altas mortalidades.
Potential nutrition contributions to exercise-associated muscle cramping in four recreational half-marathoners: A case series
Authors: Hanson Jennifer , Dole Andrew 
Published: August 2021

Objectives: Nutrition-related practices and outcomes vary dramatically between athletes, and traditional beliefs regarding the role of electrolytes and hydration in exercise-associated muscle cramping (EAMC) may be hindering meaningful prevention strategies. The aim of this study was to characterize the role of carbohydrate (CHO), energy, and exertion level, in conjunction with electrolyte and hydration status to assess the role of these possible predictors of EAMC.
Methods: A case study series approach was used to capture pre-race and on-course food and beverage intake, pre and post-race body weight, relative perceived exertion (RPE), and history of EAMC for four recreational runners prior to and during a half-marathon race.
Results: CHO intake, energy intake, and hydration status varied among the runners with one occurrence of EAMC. Reported pre-race CHO intake for all but one runner fell below 5 g/kg/day. Weight loss during the race was between 1.23-3.03%. Two of the four runners reported a prior history of EAMC, one of which experienced EAMC during the race. The two runners with a prior history of EAMC, also reported the lowest 3-day energy and CHO intakes. The one runner who encountered an EAMC did not experience the greatest net race sodium loss. However, this runner did have the greatest race weight loss, the greatest race sweat loss, the longest duration of activity, the lowest RPE, and suboptimal energy and CHO intakes.
Conclusions: The observed case of EAMC does not appear to be entirely inconsistent with the traditional dehydration/ electrolyte loss theory. However, the in-depth characterization of each runner illustrates the complex interaction of potential predictors and also generates questions regarding the potential contribution of suboptimal energy and CHO intakes.
Harlequin Ichthyosis in a Filipino Newborn: Management Pearls in a Resource-limited Setting
Authors: Gatmaitan-Dumlao Jolene Kristine G. , Tababa Erin Jane L. , Jao-Tan Cindy , Frez Ma. Lorna F. 
Published: August 2021

Introduction. Harlequin ichthyosis (HI) is a rare type of autosomal recessive congenital ichthyosis. There are approximately 200 documented cases worldwide, with less than five published reports in the Philippines. Despite its rarity, current literature suggests a better prognosis for these patients.
Case description. We describe a preterm male newborn who presented at birth enclosed in a thick hyperkeratotic armor-like scale plates with areas of fissures, with associated ectropion, conjunctiva dehiscence, and eclabium. The thickened encasement also covered the hands and feet, causing severe contractures. A diagnosis of harlequin ichthyosis was given based on the clinical features. The patient was managed through a multidisciplinary approach, including referral to the tele-ichthyosis platform of a US-based foundation for patients with ichthyosis. Thermoregulation, nutrition, and hydration were carefully managed. Bland emollients were applied generously following normal saline soaks to improve barrier protection. Acitretin was administered on day 2 of life to facilitate the desquamation of the thickened encasement. A marked decrease in erythema and the thickness of the hyperkeratotic skin, and reduced conjunctival dehiscence were noted after one week of therapy. However, the constrictions on the hands and feet showed bluish discoloration and signs of necrosis. Linear band excision was performed to release the constrictors. Despite aggressive management, the patient succumbed to sepsis on day 12 of life.
Conclusion. Improved prognosis amongst HI patients is correlated with optimal quality of care regardless of resource limitations. A multidisciplinary approach and early administration of retinoids cannot be overemphasized. Linear band excision within the first week of life is suggested for constrictions on the extremities that do not improve with retinoids to avoid necrosis and autoamputation.
Dermoscopic Patterns in Relation to the Clinicopathologic Manifestations of Leprosy
Authors: Gervasio Mia Katrina R. , Obbus Sarah Faye V. , Camaclang-Balmores Marie Len A. , Siripunvarapon Arunee H. , Dofitas Belen L. 
Published: August 2021

Objectives. Leprosy is a chronic granulomatous infection caused by the obligate intracellular organism Mycobacterium leprae. Current diagnostic tests for confirmation and treatment monitoring such as slit skin smear and biopsy are invasive and require time for processing, reading, and interpretation. Dermoscopy is a technique that allows the visualization of structures not readily seen by the naked eye. It can be performed at the point of care, providing a non-invasive link between clinical and histopathologic examination. This study aimed to determine the dermoscopic findings and associated clinicopathologic findings of the different forms of leprosy.
Methods. A cross-sectional study was conducted. All new and follow-up patients aged 19 years old and above clinically diagnosed with leprosy were invited to participate in the study during the three-month investigation period. Clinical and dermoscopic photographs of representative skin lesions were taken, and a review of slit skin smear and histopathology results was done. Data analysis was performed using Stata SE version 13. The association between dermoscopic findings and the following parameters: anatomic location, Ridley-Jopling classification, WHO classification, treatment duration, and average bacteriologic index were analyzed using Fisher’s exact test. The level of significance was set at 5%.
Results. A total of 57 lesions were included. Linear vessels (p=0.031), structureless areas (p=0.008), and globules (p=0.002) were found to be significantly associated with the anatomic location. Decreased hair was found to be significantly associated with treatment duration (p=0.038). No significant associations were found between dermoscopic findings and Ridley-Jopling classification, WHO classification, and ABI. Eight biopsies taken at the time of dermoscopy were reviewed, with all sites showing structureless or globular areas corresponding to the presence of granulomas on histopathology (100%). No other notable associations were observed.
Conclusion. Dermoscopy is a potentially useful tool to aid in the diagnosis and treatment monitoring of leprosy. Limitations of this study include the small sample size, the preponderance of subjects in the lepromatous pole, and assessments by a single trained dermoscopist. A longer study duration including a larger number of newly diagnosed leprosy patients is recommended.
OT Interventions to Promote and Support Client Self-Advocacy: A Systematic Review of the Literature
Authors: Vanpuymbrouck Laura , Lieberman Kimberly , Kim Abraham , Thrasher Erin , Guzaldo Theresa 
Published: August 2021

Abstract
Date Presented 04/13/21
This literature review examined the evidence within the scope of OT practice addressing client development of self-advocacy and synthesizing the content of effective OT interventions addressing client development of self-advocacy to identify common features vital to successful outcomes. Additionally, this study aims to determine the quality of available empirical evidence of OT interventions designed to promote and support client self-advocacy.
Primary Author and Speaker: Laura Vanpuymbrouck
Additional Authors and Speakers: Olivia Easterbrooks-Dick
Contributing Authors: Alison Teasdale
OTs' Perspectives on Family-Centered Care and Meaningful Relationships Within Complex Family Contexts
Authors: Humbert Tamera Keiter , Sanders Abigail , Wood Courtney , Cargill Esther 
Published: August 2021

Abstract
Date Presented 04/13/21
The value of family-centered care is identified in the literature, highlighting the need for therapists to use a variety of approaches. However, there is limited evidence as to how to best provide care with families dealing with complex contexts such as language, cultural, and socioeconomic differences. This session will provide the perspectives of eight OTs who identified strategies to support the primary caregiver and ways in which to build therapeutic alliances.
Primary Author and Speaker: Tamera Keiter Humbert
Additional Authors and Speakers: Patricia A. Henton
Contributing Authors: Shelley Dean
Investigation of Testimonials From Participants in an Adaptive Sports and Recreation Program
Authors: Brown Sandra , Bewernitz Megan , Krauss Alice , Summers LaTonya 
Published: August 2021

Abstract
Date Presented 04/21/21
A community adaptive sports and recreation program promotes social, physical, and emotional health and well-being for people with disabilities. Since the program's inception, many participants have voluntarily submitted letters and stories describing the program's impact on their daily lives. This research qualitatively examined the significance of engagement in this program on participants' health and well-being by analyzing their true lived experiences, expressed in their own words.
Primary Author and Speaker: Sandra Brown
Additional Authors and Speakers: Carly Peters, Renee Watling
Children's Progression of Control of a Powered Mobility Device Using a Joystick
Authors: Iglthaler Jennifer , Dennis Carole , Darby Matthew , Morales Keanna , Wellner Carly , Wetmore Amanda , Ziegler Tiani 
Published: August 2021

Abstract
Date Presented 04/23/21
Currently, there is limited information available to therapists to help them in advising parents about possibilities for very early powered mobility use in infants and very young children. Presenters will discuss the results of a pilot study that examined the progression of joystick driving skills in typically developing children from ages 12 to 24 months. Possible implications of the findings from this study for evidence-based practice will be considered.
Primary Author and Speaker: Jennifer Iglthaler
Contributing Authors: Erika Dalida, Caitlin Maclang, Eunice Cho, Hekanne Simbolon, and Marielle Santiago
Exploring Implicit and Explicit Racial Bias in OT Professionals
Authors: Abou-Arab Alaa , Mendonca Rochelle 
Published: August 2021

Abstract
Date Presented 04/13/21
Racial bias is defined as the negative evaluation of a group and its members relative to another and can exist on explicit and implicit levels. This is an exploratory study to examine the presence of implicit and explicit racial bias among OT professionals across the United States. The results (N = 201) highlight the presence of implicit and explicit racial biases among OT professionals in the United States and the need for further education on racial bias.
Primary Author and Speaker: Alaa Abou-Arab
Additional Authors and Speakers: Alee Leteria, Kristina Zanayed, and Susanne Higgins
Prompting Play for Preschoolers: Virtual Workshops for Educators
Authors: Gammer Katherine , Donoso Brown Elena 
Published: August 2021

Abstract
Date Presented 04/13/21
To support preschool students with intellectual and developmental disabilities (IDD), the educators working closely with them must be equipped with appropriate strategies. As OTs, it is our responsibility to ensure that any deficits in play are managed to increase engagement in daily activities. Through engagement in virtual workshops detailing two prompting strategies, participants' knowledge and self-efficacy regarding these techniques to support play in the classroom was increased.
Primary Author and Speaker: Katherine Gammer
Contributing Authors: Mor Nahum, Chen Makranz, Afik Hoba, Tamar Peretz, Nechama Silbermen, and Shai Netanel Nagary
A Survey of Incivility in the OT Workplace
Authors: Bolding Deborah J. , McCallister Cameron , Poisson Kate , Pufki David , Ramirez Angelica , Rickley Claire , Scattini Victoria 
Published: August 2021

Abstract
Date Presented 04/13/21
Incivility in health care has adverse effects on patient care coordination, patient outcomes, practitioner well-being, and organizational costs. This study examined the relationships between perceived incivility and practitioners’ demographics, workplace factors, and resilience. The highest rates of incivility were reported by practitioners with 2–10 years of experience, working in skilled-nursing or long-term care, and with lowest resilience. Practices for mitigating incivility are discussed.
Primary Author and Speaker: Deborah J. Bolding
Contributing Authors: Taniya Varughese, Allison King
Enhancing OT Students’ Awareness of Social Inequities and Implicit Bias With a Poverty Simulation
Authors: Bakshi Priya , Jarrard Paula 
Published: August 2021

Abstract
Date Presented 04/12/21
Poverty attributions of health professionals affect how care is provided to this population. Literature indicates a gap in OT student learning to effectively work with individuals living with low income. This study found that a community action poverty simulation was an effective educational tool to address the initial first step of increasing OT students' awareness of their attitudes and their implicit bias of the challenges faced by this population.
Primary Author and Speaker: Priya Bakshi

Contributing Authors: Abigail Herman, Mairead Gormley, Erica Di Meo, Jessica Leonard