bluuebunny/crossref_metadata_2025_split huggingface dataset:
HUBUNGAN PENGETAHUAN DAN BUDAYA TERHADAP DUKUNGAN PADA PASIEN STROKE DI RS PKU MUHAMMADIYAH SRUWENG
Authors: Yuda Hendri Tamara , Yuwono Podo Yuwono 
Published: May 2021

Latar belakang : Angka kejadian stroke menunjukkan peningkatan insiden yaitu kejadian stroke 12,1 per 1000 penduduk (Riskesdas, 2013). Prevalensi penderita stroke di RS PKU Muhammadiyah Sruweng pada bulan Januari hingga Desember 2017 baik dari rawat inap maupun rawat jalan sebanyak 253 kasus. Oleh karena itu, dukungan keluarga termasuk dalam faktor pendukung (supporting factors) yang dapat mempengaruhi perilaku dan gaya hidup seseorang sehingga berdampak pada status kesehatan dan kualitas hidup penderita stroke (Sinaga, 2014) Tujuan : untuk menganalisis hubungan tingkat pengetahuan dan latar belakang budaya terhadap dukungan pada pasien stroke di RS PKU Muhammadiyah Sruweng.Metode: penelitian ini adalah penelitian kuantitatif dengan pendekatan cross sectional. Sampel sebanyak 109 responden Sampel diambil dengan tehnik total sampling. Analisa data menggunakan chisquare untuk mengetahui hubungan antar variable.Hasil Penelitian: Hasil uji statistik didapatkan nilai p=0,000, maka dapat disimpulkan bahwa terdapat hubungan yang bermakna antara tingkat pengetahuan dengan dukungan keluarga dalam merawat pasien stroke. Hasil uji statistik didapatkan nilai p=0,034, maka dapat disimpulkan bahwa ada hubungan yang bermakna antara latar belakang budaya terhadap dukungan keluarga dalam merawat pasien stroke.Rekomendasi: motivasi kepada semua anggota keluarga untuk meningkatkan dukungan keluarga pada penderita stroke.Kata Kunci : pengetahuan, budaya, dukungan, keluarga
DETERMINAN KEJADIAN PREEKLAMPSIA PADA IBU HAMIL DI WILAYAH KERJA UPTD PUSKESMAS DUKUHWARU SLAWI
Authors: Insani Uswatun , Supriatun Evi 
Published: May 2021

AbstrakKehamilan dengan resiko tinggi dapat terjadi pada ibu hamil dengan berbagai macam karakteristik. Salah satu resiko tinggi pada kehamilan adalah keadaan ibu dengan peningkatan tekanan darah selama kehamilannya atau yang biasa disesbut dengan preeklampsia atau PIH (Pregnancy Induced Hypertension). Keadaan ini merupakan salah satu bentuk kegawatdaruratan kehamilan yang beresiko tidak hanya kepada ibu dan juga janinnya jika tidak mendapatkan penanganan yang tepat. Keadaan preeklampsia ini bisa terjadi karena faktor dari ibu dan juga faktor bayi yang dikandungnya. Pentingnya memahami penyebab preeklampsia pada ibu hamil akan dapat membantu ibu dan keluarga untuk bisa beradaptasi dengan keadaan kehamilannya. Penelitian ini bertujuan untuk mengetahui karakteristik ibu hamil dengan preeklampsia di sebagai kehamilan dengan resiko tinggi. Penelitian ini menggunakan kualitatif deskriptif dengan pendekatan studi kasus untuk mengidentifikasi terkait penyebab preeklampsia yang dialami oleh ibu hamil. Hasil dari penelitian ini dijumpai faktor yang mempengaruhi terjadinya preeklampsia yaitu usia ibu, jarak kehamilan terlalu dekat dan terlalu jauh, pekerjaan ibu hamil, adanya riwayat keturunan, stressor yang dihadapi ibu hamil dan ibu hamil dengan golongan darah O serta kehamilan gemelli/kembar. Berdasarkan penelitian ini dapat disimpulkan bahwa satu ibu hamil dengan preeklampsia bisa memiliki beberapa faktor resiko penyebab terjadinya preeklampsia, tidak hanya satu faktor penyebab. Pentingnya mengetahui penyebab preeklampsia dan adanya dukungan keterlibatan keluarga sebagai sumber kekuatan bagi ibu hamil dengan preeklapsia memungkinkan adanya perawatan yang lebih baik untuk ibu dan bayinya serta mengurangi akibat lanjut preeklampsia. Kata kunci : penyebab, preeklampsia, ibu hamil
Small California Wine Producers in 2019: An Industry Note
Authors: Peyrefitte Joseph 
Published: May 2021

After 25 years of rising wine sales, 2019 revealed that growth was slowing. An oversupply of grapes and finished products, coupled with diminishing sales volumes and shifting buyer preferences, were impacting smaller California wine producers. Additionally, wine marketing in the U.S. focused primarily on the Baby Boomers, the large and affluent generation that has been the main wine consuming cohort over the last 25 years. But, as the Baby Boomers hit retirement age, their wine purchasing is moderating in both price and volume. Can winemakers shift their selling strategies from the Baby Boomer to the Gen X, and subsequently, the Millennial generations? The product-focused approach that led to success with the Baby Boomers might not be enough to cater to the likes of Gen Xers or the Millennials, as the younger generations have very different consumption patterns, preferences, and values. Branding is likely to remain important, but the tactics to attract and appeal to younger buyers is changing. How will wine producers appeal to the three different cohorts as they move through their respective life stages?
Educação de qualidade
Authors: Novelino Barato Jarbas 
Published: May 2021

Resenhas das obrasGARDNER, Howard. The disciplined mind: beyond facts and standardized tests K-12 education that every child deserves. New York, Penguin Books, 2000.
MORAES, Francisco de. Ensino excelente: anotações e comentários para estudantes, pais e educadores. SãoPaulo: Editora Senac São Paulo, 2020.
¿Cómo puede ser la escuela para el mañana? Granada: Parque de las Ciencias de Granada, 20 fev. 2012. 1 vídeo(80 min.). Disponível em: https://www.youtube.com/watch?v=caS8XeuCPFA. Acesso em: 10 dez. 2020.
Outcome of Text messaging on glycemic control in children with type 1 diabetes mellitus: A Single Group Pre and Post intervention Study.
Authors: Khan Waqas Imran , Khurshid Asim , Anjum Sidra 
Published: May 2021

Objectives: The objective of this study is to find the outcome of text messaging on glycemic control in children with type1 DM. Study Design: Prospective Single Group Pre- and Post-intervention study. Setting: Diabetic Clinic of Department of Pediatric Endocrinology at The Children hospital and the Institute of Child Health, (CH & ICH) Multan. Period: October 2019 to December 2019. Material & Methods: Forty nine children and adolescents of 10-15 years old with T1DM were included in this study after taking informed consent from patient or their caregivers. Text messages were sent 5 times per week to patients/parents in simple Urdu language about diabetes education and Interactive message was sent weekly about blood sugar monitoring and insulin dose modification. To make sure patients are receiving text messages, phone calls were made regularly. Results: Among diabetic children 24 (49%) were males. The age ranged from 10-15 years and mean age was 12.6 ± 1.8 years. Mean duration of diabetes was 4.7± 2.8 years. Before intervention fasting and post prandial blood glucose levels per month were 160.4 mg/dl and 190 mg/dl respectively. After 12 weeks of text messaging fasting and post prandial blood glucose levels significantly (p-value < 0.001) dropped to 135.2 mg/dl and 170 mg/dl respectively. Similarly, HbA1C level decreased from 10% to 9% after intervention with p value of <0.001. Similar significant improvement was seen in frequency of hypoglycemic/hyperglycemic episode, missed insulin doses and frequency of hospital admissions. Conclusion: Our study showed a significant improvement in glycemic control and diabetes case management by diabetic educational and interactive text messages.
To determine the outcome of isolated hemorrhagic TBI in a large tertiary care center in Karachi, Pakistan.
Authors: Hashmi Syed Maroof , Raza Arif , Gauri Shiraz Ahmed , Kumar Ramesh , Younus Syed Muneeb 
Published: May 2021

Objective: To assess the outcome of mild traumatic brain injury patients who have isolated intracranial hemorrhages. Study Design: Cross-sectional, Setting: Department of Neurosurgery, Abbasi Shaheed Hospital, Karachi. Period: 1st January 2018 to 31st January 2020. Material & Methods: The inclusion criteria were that all the patients have to be above the age of 18 years, presented to us with mild TBI cases and had observable intracranial hemorrhage on computer tomography (CT) scan. Patient demographics and the various types of interventions were recorded. Results: A total of n= 300 patients were included in the study, The average age was 50.5 +/- 20.6 years. There were n= 180 males and n= 120 females. We performed a total of n= 45 (15%) neurosurgical interventions, the most common intervention being craniotomies performed in n= 31 (68.66%) patients. Of all the patients who underwent an intervention 64.44% had immediate intervention 20% had planned intervention as non-emergency cases, and 15.55% had delayed intervention. A one point increment in the GCS score is associated with 50% lower odds of surgical intervention having a p value of <0.001. The mortality rate in our study population was 6%. Conclusion: We found that the length of stay and mortality are associated with an increased age and lower GCS score of the patients, care should be taken when evaluating the patients as some cases require delayed intervention hence monitoring is of prime importance.
Comparison of montelukast versus montelukast plus inhaled corticosteroid (Budesonide) in children with mild persistent asthma.
Authors: Rai Versha , Chohan Muhammad Nadeem , - Nazimuddin , Bux Khuda , Chacher Saadullah 
Published: May 2021

Objective: To compare therapeutic response between Montelukast versus Montelukast plus inhaled corticosteroid (Budesonide) in children having mild persistent asthma. Study Design: Randomized Controlled Trial. Setting: Department of Pediatrics Medicine, National Institute of Child Health, Karachi. Period: 1st April 2016 to 30th September 2016. Material & Methods: Children aged 2 years to 14 years having mild persistent asthma for more than 6 months were included. After treatment Good response was considered when, forced expiratory volume in first second (FEV1) became >7.5% from baseline. Group A was given montelukast as monotherapy once daily and Group B was given Montelukast along with inhaled corticosteroid (Budesonide. At 6 weeks followup change in FEV1 was recorded. Result: Mean age of the patients in montelukast alone (Group A) was 6.77+/-2.16 years while in montelukast with Inhaled Corticosteroid (Group B) was 6.97+/-2.17 years. Duration of disease in Group A was 18.32+/-6.12 months while in montelukast with ICS group was 18.50 +/-6.08 months. Baseline FEV1 in Group A was 81.83+/-0.85% while in Group B was 82.05 +/-0.63%. Males were higher with 131 (61.8%). Family history was positive in 82 (38.70%) patients. After 6 weeks mean FEV1 was 89.49 +/-0.87% in Group A while in Group B was 89.53+/-0.86%. Overall good responses were found in 21 (9.09%) patients. In Group A, good response was found in 5 (4.7%) patients while in Group B was in 16 (15.1%) with significant p-value. Conclusion: In our study montelukast along with inhaled steroids had better response than montelukast alone in mild persistent asthma.
Medical History Taking Using Electronic Medical Records: A Systematic Review
Authors: Lino Luis , Martins Henrique 
Published: May 2021

ABSTRACT

Background:
The relationship between digital tools and medical history taking (classically referred to as anamnesis) in clinical settings is problematic. We explored the medical history taking context, how data is managed by physicians and patients and which tools are used, particularly electronic health record, to gather, organize and record patient’s medical history and related health data.

Materials and methods:
Systematic review of the literature following PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analysis) guidelines, using published studies in English-language available from PubMed and Cochrane databases, using a combination of Medical Subject Headings and keywords. Our search yielded 162 citations of which 18 corresponded to our criteria and were included, regardless of study design, sample size or measurement type as a variety of perspectives and methodologies was deemed useful for an exploratory review and under a socio-technical research epistemology. The small number of publications related to the topic conditioned our analysis.

Discussion:
This review shows the paucity of relevant studies in the area of interest. Even thought it was possible to evaluate context changes in history taking that relate to EHR implementation and usage. Also, multiple challenges, benefits, risks and workflow adaptations have impacts on medical history taking. A potentially useful workflow adaptation is the access to the EHR previously or during the patient encounter with him or her.

Conclusion:
With the ever-increasing adoption of EHRs and its varying influence in clinical practice, physician’s adaptability was strained. Multiple workflow challenges and necessary changes regarding EHR use have been identified. Improving anamnesis practice is possible through better documentation, EHR templates and tools. Yet a new aspect of anamnesis – Digital anamnesis – benefits from better conceptualization and integration with classic anamnesis still taught in traditional medical schools. This study points to implications for medical schools and medical education in general.

Highlights:
Scale, Landscape and Indigenous Bedouin Land Use: Spatial Order and Agricultural sedentarisation in the Negev Highland
Authors: Meraiot Ariel , Meir Avinoam , Rosen Steve 
Published: May 2021

Abstract
By taking a small-scale perspective, Bedouin pastoral space in the Israeli Negev in the modern period has been misinterpreted as chaotic by various Israeli institutions. In critiquing this ontology we suggest that a knowledge gap with regard to an appropriate scale of understanding Bedouin settlement patterns and mechanisms of sedentarisation is at its root, and that a larger-scale analysis indicates that their space is in fact highly ordered. Field surveys and interviews with the local Bedouin showed that household cultivation plots in the Negev Highland during the period of the British Mandate were organised at a large scale through natural and man-made landscape features reflecting their structure, development and deployment in a highly ordered space. This analysis carries significant implications for understanding pastoral spaces at the local scale, particularly offering better comprehension of various sedentary forms and suggesting new approaches to sustainable planning and development for the Bedouin.
Pastoralists and the State … and 'Islamic State' on Eastern Niger's Frontier: between Evasion and Engagement
Authors: Köhler Florian 
Published: May 2021

Abstract
In the current situation of militant Islamist groups encroaching on peripheral areas of different Sahelian states, mobile pastoralists are often accused of sympathising or collaborating with jihadists. Examining this phenomenon with a focus on eastern Niger and in the context of the Boko Haram crisis in the Lake Chad basin, this article relates it to the debates about incorporation and evasion of pastoralists with regard to state and society, and frontiers and borderlands as spaces not only of difficult governance but also of economic and political opportunities.
Economic Diversification among Mongolian Reindeer Herders: Continuity and Change in the Tannu Uriankhai Girdle
Authors: Rasiulis Nicolas 
Published: May 2021

Abstract
Drawing on seven months of anthropological fieldwork conducted in northernmost Mongolia among nomadic Dukha reindeer herders (widely known as Tsaatan), this article examines Dukha economic diversification in light of the history of the Upper Yenisei-Darkhad Depression region in northern Inner Asia. Before its dislocation into discrete territories of different socialist countries in the early twentieth century, this place, which I call the Tannu Uriankhai Girdle, comprised an integrated economic mosaic that featured both taiga- and steppe-based pastoralism, as well as hunting, fishing, gathering, agriculture, inter- and intra-regional trade and remunerated labour. Reindeer pastoralism complemented and was complemented by the other facets of this economic mosaic. Now the Dukha economy itself comprises nearly all facets of this mosaic. This economic configuration affords and is afforded by greater degrees of autonomy and autarky, which reinforce and are reinforced by the ongoing partnership between Dukha, reindeer and their shared taiga homeland.
Transcriptome-based identification of the beneficial role of blackcurrant, strawberry and yellow onion to attenuate the cytopathic effects of Clostridium difficile toxins
Authors: Venkatasubramanian Prashanna Balaji , Oosterink Els , Tomassen Monic M. M. , Suarez-Diez Maria , Mes Jurriaan J. , Saccenti Edoardo , de Wit Nicole J. W. 
Published: May 2021

BACKGROUND: Clostridium difficile Infection (CDI) can lead to diarrhea and fulminant colitis. C. difficile infects the host using toxins. Recent studies report prevalence of CDI in the small intestine. Berries are known to contain antioxidants and phenolic compounds that might mitigate bacterial infection. OBJECTIVE: We explored the impact of C. difficile toxins on the small intestine using an in vitro approach and used systems biology techniques together with data integration to identify food compounds that can reduce their cytopathic impact. METHODS: Differentiated Caco-2 cells were exposed to C. difficile toxins and the transcriptomic changes were studied. To identify foods with potential beneficial counteracting effects, the transcriptomic profiles were integrated with transcriptomics data from Caco-2 cells exposed to various food compounds and analyzed using multivariate analysis. RESULTS: Beneficial food candidates, selected by multivariate analysis, such as blackcurrant, strawberry and yellow onion were further examined for their potential to counteract the effect of the toxin-induced disruption of cell integrity and toxin translocation. Our results confirmed effects of food compounds, on the cytopathic effects of toxins in the small intestine. CONCLUSION: Blackcurrant, strawberry and yellow onion can counteract C. difficile toxins induced effects.
EVALUASI MUTU FISIK DAN NILAI GIZI PARBOILING RICE VARIETAS CISOKAN SUMATERA BARAT
Authors: Putri Renny Eka , Ifmalinda  , Elisa Nindi 
Published: May 2021

Parboiled rice atau yang dikenal dengan beras pratanak adalah pengolahan gabah yang bertujuan untuk menaikkan persentase rendemen giling dan menurunkan persentase kadar glukosa sehingga dapat dikonsumsi oleh penderita diabetes melitus dan obesitas. Parboiled rice ini untuk mendapatkannya harus melakukan proses perendaman dan pengukusan dari gabah kemudian dikeringkan dan digiling. Penelitian ini bertujuan untuk menganalisa mutu fisik dan mutu gizi gabah varietas cisokan secara pratanak. Mutu fisik yang dievaluasi meliputi ukuran, bentuk, bulk density, kadar air, dan rendemen, sedangkan nilai gizi meliputu kadar gulosa dan kandungan pati. Hasil penelitian menunjukkan peningkatan rendemen giling pada perlakuan setelah dikukus 30 menit yaitu 79,965% dibandingkan beras tanpa proses pratanak. Proses pratanak juga dapat menurunkan kadar glukosa pada beras 0,529% dan menaikkan kadar pati menjadi 78,614%.
PENGARUH PENGEMASAN DENGAN PLASTIK POLYPROPYLENE DENGAN BERBAGAI LUBANG PERFORASI TERHADAP KUALITAS SIMPAN KANGKUNG (Ipomea reptans Poir.)
Authors: Maharani Alvira Tuttan Dwi , Handoko Yoga Aji , Yulianingsih Wamilia 
Published: May 2021

Besarnya jumlah dari produksi kangkung tidak diimbangi dengan penanganan pascapanen yang memadai sehingga banyak kangkung yang terbuang dan busuk sebelum diolah karena kangkung termasuk sayuran yang mudah rusak (perishable) sehingga perlu dilakukan pengolahan lebih lanjut sehingga untuk meningkatkan kesegaran dan menambah nilai ekonomis dari kangkung itu sendiri. Tujuan dari penelitian untuk mengetahui pengaruh pengemasan plastik PP dengan berbagai lubang perforasi terhadap warna dan kelayuan kangkung. Metode yang digunakan dalam penelitian ini adalah metode RAL (Rancangan Acak Lengkap) untuk ulangan dilakukan sebanyak 5 kali dengan perlakuan pemberian lubang perforasi : P0 (kontrol), P1 (4 lubang perforasi), P2 (6 lubang perforasi), dan P3 (6 lubang perforasi) dengan perlakuan suhu ruang. Pada penelitian ini didapatkan bahwa dari hasil sidik ragam menunjukan perlakuan terendah terjadi pada perlakuan kontrol terhadap hasil warna dan kelayuan, sedangkan pengemasan dengan plastik PP dengan perlakuan pengemasan 4 lubang dan 8 lubang memberikan hasil terbaik pada warna dan tekstur kangkung.
STRATEGI PEMBERIAN REWARD PEMBELAJARAN TAHFIDZUL QUR’AN DI SDIT MUHAMMADIYAH AL KAUTSAR GUMPANG KARTASURA
Authors: Cahyono Guntur , Utomo Sigit Tri , Winarni Endah 
Published: May 2021

Penelitan ini dilakukan untuk mengetahui metode pembelajaran tahfidzul Qur’an di SDIT Muhammadiyah Al Kautsar Gumpang Kartsura dilihat dari cara lembaga sekolah memberikan reward kepada peserta didik yang saat siswa mampu menyelesaikan hafalan Al Qur’an. Pembelajaran tahfidzul Quran menjadi program unggulan di SDIT Muhammadiyah Al Kautsar Kartasura. Target hafalan juz 30 diselesaikan dikelas 3 dan juz 29 kelas 5. Untuk mencapai hal itu maka para pengajar tahfidz selalu memberi motivasi kepada anak supaya anak terpacu untuk bisa menyelesaikan target hafalan yang ditentukan. Adapun reward yang diselenggarakan sekolah bermacam-macam mulai bingkisan atau ucapan selamat. Puncak kegiatan dari reward kegiatan tahfidz Qur’an adalah penghargaan kepada siswa dengan mengikuti wisuda tahfidz. Dengan metode ini peserta didik berhasil menyelesaikan hafalan sesuai target yang telah ditentukan bahkan ada yang mencapai predikat mumtaz.
El Realismo Crítico y su modelo de transformacional de la actividad social
Authors: Guerra Alfonso 
Published: May 2021

En este artículo pretendo defender la ontología propuesta en el Realismo Crítico de Bhaskar, como base epistémica para el estudio del objeto en las ciencias sociales, dentro de la discusión metodológica entre Individualismo y Holismo, para lo cual, se defiende el modelo transformacional de la actividad social (T.M.S.A.), como un modelo que trata de explicar los procesos de socialización, reproducción y transformación de la sociedad.
Palabras Clave: Realismo Crítico, Individualismo, Holismo
CÂBİRÎ’NİN EPİSTEMOLOJİK YENİDEN YAPILANMA PROJESİNİN YAPI BOZUMU
Authors: KESKİN İbrahim 
Published: May 2021

Özet
Muhammed Âbid el-Câbirî, Arap/İslam kültürü üzerine yapısalcı analizleri ve yapı bozum çalışmaları ile tanınmış bir düşünürdür. Post sömürge dönemi aydını olarak Câbirî’nin çalışmalarının ana teması onun kriz durumu olarak nitelendirdiği geri kalmışlık sorunu olmuştur. Câbirî kriz durumunu aşmaya yönelik Arap/İslam kültürünün yeni bir okumasını önerir. Onun bu önerisi, Arap/İslam düşüncesinde bilimsel gelişmeleri sağlayacak yeni bir epistemolojik metodoloji inşa etmeye matuftur. Arap/İslam kültürel mirasını yapısalcılık aracılığıyla analiz eden Câbirî, homojen bir bütünlük olarak gördüğü geleneği yapı bozuma tabi tutarak eleştirmiş ve geleneğin ideolojik olarak inşa edildiğini göstermek amacıyla rasyonalite lehine değersizleştirmiştir. Fakat onun yapı bozumu geleneğin topyekûn yadsınması anlamına gelmez. Câbirî’nin Yeniden Yapılanma olarak ifade ettiği metodolojik inşa Arap/İslam aklının rasyonel unsurlarının yeniden keşfi ve evrensel akılla ilişkili olarak yapılandırılmasını ifade eder.
Bu makalede, Câbirî’nin söz konusu önerisinin yapı ve akıl özelinde Derrida’cı yapı bozum çerçevesinde eleştirisi amaçlanmaktadır. Bu eleştiri yoluyla Câbirî’nin yapı olarak analiz ettiği bütünlüğün bir kurgu olduğu ve bu kurgudaki teorileştirme girişiminin, birçok faktörün ihmal edilişi ve bu faktörlerin oyunu olarak nitelendirilebilecek bir sonucun, teorileştirmeye kurban edildiği ifade edilecektir. Ayrıca Câbirî’nin evrensel akıl olarak gördüğü akıl kabulüyle Batı metafizik geleneğinin özcülüğü ve logosentrizmine eklemlendiğinin açığa çıkarılması hedeflenmiştir. Câbirî’nin yeniden yapılanma projesi Batı metafizik geleneğine eklemlenme suretiyle söz konusu geleneğe içkin bütün problemlere malul görünmektedir.