bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perbandingan Luaran Maternal dan Neonatal antara Seksio Cesarea Emergensi dan Seksio Cesarea Elektif pada Kehamilan dengan Janin Presentasi Bokong
Authors: Reubiyana Riena , Attamimi Ahsanudin , Ganap Eugenius Phyowai 
Published: May 2021

Latar Belakang: Kehamilan dengan janin presentasi bokong terjadi pada 3-4% dari semua kelahiran tunggal. Presentasi bokong merupakan ±17% indikasi utama dikerjakannya seksio cesarea elektif saat ini. Seksio cesarea dapat menjadi prosedur untuk menyelamatkan ibu dan bayi, tetapi juga dapat menyebabkan komplikasi untuk ibu dan bayi. Seksio cesarea elektif diyakini dapat menurunkan risiko terjadinya komplikasi maternal dan neonatal dibandingkan seksio cesarea emergensi.Tujuan: Penelitian ini bertujuan untuk menilai luaran maternal dan neonatal antara seksio cesarea emergensi dan elektif dengan mengambil sampel pada kehamilan dengan janin presentasi bokong.Metode: Penelitian dilakukan dengan desain kohort retrospektif. Pengambilan sampel dilakukan secara konsekutif pada subjek ibu hamil dengan janin presentasi bokong yang melahirkan secara seksio cesarea selama tahun 2014-2019. Dua kelompok yang dibandingkan yaitu seksio cesarea emergensi dan elektif. Luaran penelitian adalah luaran maternal berupa kejadian infeksi dan perdarahan, sedangkan luaran neonatal adalah asfiksia dan cedera neonatal. Data dianalisis dengan uji Chi Square atau Fisher Exact, dilanjutkan uji regresi logistik.Hasil dan Pembahasan: Terdapat 240 sampel, terdiri dari 105 sampel seksio cesarea emergensi dan 135 sampel seksio cesarea elektif. Dari hasil analisis bivariat, diperoleh bahwa seksio cesarea emergensi berhubungan dengan lebih tingginya kejadian nilai Apgar rendah pada menit pertama dan menit kelima dan cedera persalinan, meskipun tidak bermakna secara statistik. Analisis multivariat menunjukkan bahwa seksio cesarea emergensi berhubungan dengan terjadinya infeksi maternal (p= 0.002, OR 3.65, 95% CI 1.59– 8.40) dan perdarahan (p= 0.042, OR 2.27, 95% CI 1.06– 6.1).Kesimpulan: Seksio cesarea emergensi secara signifikan berhubungan dengan luaran buruk maternal, yaitu terjadinya komplikasi infeksi dan perdarahan, namun tidak memberikan luaran neonatal yang lebih buruk dibandingkan seksio cesarea elektif. Pemeriksaan antenatal dan pengambilan keputusan penatalaksanaan yang tepat diperlukan untuk menekan terjadinya komplikasi.Kata kunci: kehamilan dengan presentasi bokong, seksio cesarea emergensi, seksio cesarea elektif, luaran maternal, luaran neonatal.
Current practice of stakeholder engagement: researchers’ experiences in North America, DACH countries and China
Authors: Heiß Anna , Wang Jiani , Fei Yutong , Xia Ruyu , Icke Katja , Pach Daniel , Witt Claudia M 
Published: May 2021

Aim:
To explore the current practice of stakeholder engagement in clinical trials and its evaluation in North America (USA and Canada), DACH countries (Germany, Austria and Switzerland) and China.
Participants & methods:
We conducted a web-based, anonymous, international, cross-sectional online survey for clinical researchers. Data were analyzed using descriptive and explorative statistical analysis including analysis of variance and analysis of covariance.
Results:
Stakeholder engagement is more prominent and higher accepted among researchers in North America. Researchers in DACH countries have less knowledge of the stakeholder engagement method and are less likely to apply it.
Conclusion:
Stakeholder engagement is perceived very differently among participants from DACH countries, North America and China. For a broader acceptance and implementation institutional support and motivational conditions might be needed.
Síndrome de Stevens – Johnson inducido por Ampicilina. Reporte de un caso.
Authors: Molina Ávila Ignacio , Pimentel Solá Juan Martín , Cordero Torres Karina , Jorge Silvia , Morales Espinosa Rolando Eduardo 
Published: May 2021

Antecedentes: El Síndrome de Stevens-Johnson (SSJ) se define como como un trastorno derivado de una reacción de hipersensibilidad mucocutánea poco frecuente, cuya etiología está asociada a una reacción adversa a medicamentos, infecciones por virus herpes o mycoplasma, entre otros. El objetivo es presentar un caso clínico de Síndrome de Stevens-Johnson(SSJ) con manifestaciones orales.Presentación Clínica: Paciente masculino, 50 años, derivado a la Unidad de Estomatología del Hospital Señor del Milagro, Salta, Argentina, por presentar múltiples lesiones sangrantes y costrosas en cavidad oral, con evidente odinofagia y adenopatías palpables. Medicado con ampicilina por una infección inespecífica. Al examen físico general se observaron lesiones hemorrágicas en cara, tronco y extremidades de 15 días de evolución. Se diagnosticó como Síndrome de Stevens Johnson inducido por ampicilina, tratado con dexametasona en altas dosis, con remisión tras una semana de tratamiento.Relevancia clínica: Es importante realizar un diagnóstico diferencial de lesiones vesículo-ampollares para entregar un tratamiento oportuno al paciente. La literatura es extensa respecto a la poca claridad sobre la fisiopatología del SSJ y su interacción con los medicamentos. El vínculo etiológico entre ampicilina y SSJ es pobremente reportado, siendo este, uno de los pocos casos documentados sobre esta relación. Conclusión: Es importante para el odontólogo general el diagnóstico precoz del trastorno y la eliminación oportuna del fármaco sospechoso, pudiendo mejorar significativamente el pronóstico y curso de la enfermedad
Migración e impacto en odontología para personas con trastorno del espectro autista en atención primaria
Authors: Quintana Mallea Benjamín Ignacio , Cofré Rivera Valeria 
Published: May 2021

Introducción: El trastorno del espectro autista (TEA), desorden neurológico caracterizado por alteraciones en la sociabilización, comunicación y comportamiento, presenta barreras de acceso a la atención odontológica y usualmente necesitan un manejo clínico especializado. Las dificultades para acceder a servicios preventivos en atención primaria (APS) restringen su tratamiento a atención secundaria y los determinantes sociales en salud (DSS), incluyendo estado migratorio y situación socioeconómica, cobran un rol fundamental. Reporte: Paciente hombre, migrante, 9 años, diagnóstico TEA, potencialmente cooperador, acude a Posta Rural de San Miguel de Azapa para atención odontológica tras atenciones fallidas en otros servicios. Al examen clínico se observan lesiones de caries, gingivitis, restos radiculares. Se planifica tratamiento odontológico con citas previas de adaptación, educación personalizada con pedagogía visual y consulta con psicología-nutrición-medicina.Discusión: el TEA por sí solo no aumenta la predisposición a patologías orales, pero hay factores que aumentan su riesgo. Existe peor higiene oral; mayor prevalencia de periodontopatías y caries; respuestas aversivas a la atención odontológica; posible bidireccionalidad entre severidad del TEA y disbiosis oral. Se recomiendan atenciones cortas, programadas, técnicas conductuales individualizadas y tratamiento multidisciplinario, comprendiendo los DSS y barreras (altos costos, etnias, nivel socioeconómico, etc.), internalizando el concepto del derecho a salud del migrante e interculturalidad, generando una alianza terapéutica y en donde la APS es fundamental en la atención bajo un modelo biopsicosocial.Conclusión: El dentista debe capacitarse en la atención de pacientes TEA analizando los DSS con enfoque biopsicosocial con énfasis en APS y aplicando protocolos de promoción y prevención en salud.
Increasing Reliance on Financial Advice with Avatars: The Effects of Competence and Complexity on Algorithm Aversion
Authors: Ganbold Odkhishig , Rose Anna M. , Rose Jacob M. , Rotaru Kristian 
Published: May 2021

ABSTRACT
We find that avatar design can reduce algorithm aversion, which is the tendency of decision makers to ignore advice received from an algorithm after the algorithm makes an error. When the facial features of an avatar exhibit high levels of competence, algorithm aversion can be reduced relative to no avatar or a less competent-looking avatar. Humanizing the financial advice from an algorithm with an avatar that promotes the perception of competence effectively reduces algorithm aversion and can enhance reliance on the financial advice of robo-advisors.
Cost-Effectiveness of a Diabetes Self-Management Education and Support Intervention Led by Community Health Workers and Peer Leaders: Projections From the Racial and Ethnic Approaches to Community Health Detroit Trial
Authors: Ye Wen , Kuo Shihchen , Kieffer Edith C. , Piatt Gretchen , Sinco Brandy , Palmisano Gloria , Spencer Michael S. , Herman William H. 
Published: May 2021

OBJECTIVE
To simulate the long-term cost-effectiveness of a peer leader (PL)–led diabetes self-management support (DSMS) program following a structured community health worker (CHW)–led diabetes self-management education (DSME) program in reducing risks of complications in people with type 2 diabetes (T2D).

RESEARCH DESIGN AND METHODS
The trial randomized 222 Latino adults with T2D to 1) enhanced usual care (EUC); 2) a CHW-led, 6-month DSME program and 6 months of CHW-delivered monthly telephone outreach (CHW only); or 3) a CHW-led, 6-month DSME program and 12 months of PL-delivered weekly group sessions with telephone outreach to those unable to attend (CHW + PL). Empirical data from the trial and the validated Michigan Model for Diabetes were used to estimate cost and health outcomes over a 20-year time horizon from a health care sector perspective, discounting both costs and benefits at 3% annually. The primary outcome measure was the incremental cost-effectiveness ratio (ICER).

RESULTS
Over 20 years, the CHW + PL intervention had an ICER of $28,800 and $5,900 per quality-adjusted life-year (QALY) gained compared with the EUC and CHW-only interventions, respectively. The CHW-only intervention had an ICER of $430,600 per QALY gained compared with the EUC intervention. In sensitivity analyses, the results comparing the CHW + PL with EUC and CHW-only interventions were robust to changes in intervention effects and costs.

CONCLUSIONS
The CHW + PL–led DSME/DSMS intervention improved health and provided good value compared with the EUC intervention. The 6-month CHW-led DSME intervention without further postintervention CHW support was not cost effective in Latino adults with T2D.
Clasificación de frutos del durazno en maduros, no maduros y dañados hacia la cosecha automatizada
Authors: Arévalo Zenteno Ma. Dolores , Ruiz Castilla José Sergio , Ayala de la Vega Joel 
Published: May 2021

A partir de la tecnología de visión artificial, específicamente de redes neuronales convolucionales, se propuso una solución para realizar el reconocimiento de frutos de durazno maduros, así como la identificación de frutos dañados. La finalidad es obtener frutos con el nivel de calidad adecuado para su comercialización. Para lograr este propósito, se obtuvieron imágenes de duraznos en un ambiente no controlado. Se recortaron las imágenes digitales hasta obtener el área de interés. Se configuraron tres conjuntos de datos: el primero, de duraznos maduros e inmaduros; el segundo, también de duraznos maduros e inmaduros pero con enfoque en un área textural, y el tercero, de duraznos sanos y dañados. Se aplicó una red neuronal convolucional, que fue programada en el lenguaje Python, las librerías de Keras y TensorFlow. Durante las pruebas se obtuvo una precisión de 95.31 % a la hora de elegir entre maduros y no maduros. Mientras que al clasificar los duraznos sanos y dañados se obtuvo 92.18 % de precisión. Por último, al clasificar las tres categorías (dañados, inmaduros y maduros), se obtuvo 83.33 % de precisión. Los resultados anteriores indican que con inteligencia artificial embebida en un dispositivo físico se puede hacer la clasificación del fruto del durazno.
Implementasi Stepper 28BYJ-48 dan Servo MG996R sebagai Robot Lengan Pemanggang pada Alat Pemanggang Sate Otomatis Berbasis Arduino UNO
Authors: Muhammad Satria Nugroho Angga 
Published: May 2021

Intisari — Di industri hampir semua pabrik-pabrik memanfaatkan sistem otomasi, dikarenakan hasil lebih cepat serta kualitas yang dihasilkan lebih baik tentunya menjadi faktor utama pemanfaatan sistem otomasi ini. Namun di industri rumahan seperti warung sate jarang sekai ditemukan pemanfaatan teknologi otomasi ini. Maka dibutuhkan alat yang mampu melakukan proses memanggsang sate secara otomatis. Didapatkan solusi dengan menciptakan robot lengan pemanggang yang mampu merekayasa proses pemanggangan sate berdasarkan mekanisme motor stepper 28BYJ-48 serta motor servo MG996R dengan kendali berbasis Arduino uno. Penelitian ini merupakan penelitian kualitatif, kuantitatif fan penelitian eksperimen. Pengambilan data dilakukan secara observasi langsung terhdap alat serta wawancara kepada pedagang sate. Hasil yang didapatkan bahwa robot lengan pemanggang mampu menjalankan tugasnya dengan optimal.
Kata kunci — Otomasi, sate, robot lengan.

Abstract — In industry, almost all factories use an automation system, because the results are faster and the quality is better, of course, are the main factors in the utilization of this automation system. However, in home industries such as satay stalls, it is rare to find the use of this automation technology. So we need a tool that is capable of baking the satay automatically. The solution was obtained by creating a roasting arm robot capable of engineering the satay roasting process based on the 28BYJ-48 stepper motor mechanism and the MG996R servo motor with Arduino uno based control. This research is a qualitative research, quantitative experimental research fan. Data were collected by direct observation of the tools and interviews with satay traders. The results show that the roasting arm robot is able to carry out its duties optimally.
Keywords— Automation, satay, robotic arm.
Penjadwalan Ekonomis dan Emisi Pembangkit Listrik Hidro dan Termal dalam Sistem 150 KV di Kalimantan Selatan dan Kalimantan Tengah menggunakan Algoritma Dragonfly
Authors: Wibowo Bayu Setyo 
Published: May 2021

Seiring dengan pertumbuhan penduduk dan ekonomi di daerah Kalimantan Selatan kebutuhan listrik menjadi semakin bertambah. Sistem kelistrikan Provinsi Kalimantan Selatan sebagian besar dipasok dari Sistem Barito, Sistem Barito merupakan sistem interkoneksi kelistrikan terbesar di Kalimantan Selatan dengan jaringan transmisi 150 kV dan 70 Kv. Sistem tenaga listrik yang baik selain memperhatikan sektor ekonomis dan keandalan, dibutuhkan juga sistem yang memperhatikan dampak terhadap lingkungan karena hal inilah optimasi sistem pembangkit listrik diperlukan untuk dilakukan penjadwalan agar optimal secara ekonomis dalam suatu operasi pembangkitan energi listrik. Pada penelitian ini akan dilakukan penjadwalan ekonomis dan emisi untuk pembangkit listrik hidro dan termal menggunakan bantuan perangkat lunak Matlab 2016. Pada penelitian didapatkan hasil dari simulasi Dragonfly Algorithm menunjukkan bahwa faktor pembobotan berpengaruh kepada biaya pembangkitan. Jika faktor pembobotan lebih diprioritaskan pada faktor ekonomis, maka biaya pembangkitan akan murah, namun memiliki nilai emisi yang tinggi, begitu pula sebaliknya.

Kata kunci — Sistem Barito, Sistem tenaga listrik, Pembangkit Hidro dan pembangkit Termal, Dragonfly Algorithm.
Rheological Characteristics of Dammar Mata Kuching
Authors: Elida Purba Chairul Umam, Azhar, 
Published: May 2021

Rheology is already defined as the science of flow and deformation of matter. The purpose of rheology is to look at the relationships between stress and deformation of the material-marterial (non-Newtonian) in order to explain its mechanical properties. One of the ingredients that is often used as a basic material for making products is dammar. Dammar is a general term used to name a material in the form of natural resin which is the result of exudation of trees from the Dipterocarpaceae and Burseraccae families. This research uses raw materials dammar and toluene which are used to make a solution of dammar with the proportion of dammar: toluene, namely 50: 50, 40: 60, 35: 65, and 30: 70. Then the rheological analysis is analyzed by measuring the viscosity value, the shear rate. , and also its shear stress. The viscosity value increases with the greater the shear rate and the value of n (Flow Behavior index) is> 1, indicating that a solution of resin is a fluid with a type of dilatan fluid.

Keywords: dammar, deformation, rheology, shear rate, shear stress.
Ultrastructural Morphology of the Ependyma and Choroid Plexus in the African Giant Rat (Cricetomys gambianus)
Authors: Olude M. A. , Olopade F. E. , Mustapha O. A. , Bello S. T. , Ihunwo A. O. , Plendl J. , Olopade J. O. 
Published: May 2021

Abstract
Ependymal cells line the interface between the ventricular surfaces and the brain parenchyma. These cells, in addition to the choroid plexus, form the blood-brain barrier (BBB) and the blood-cerebrospinal fluid barrier (BCSFB) and serve important functions in the protection and regulation of brain metabolism. The African giant rat (AGR) has been used as sentinels to detect potential neuropathology arising from ecotoxicological pollutions. This study examined the lateral ventricular lining by using histology, immunohistochemistry and electron microscopy. Marked variations were observed in some regions of the ventricles which showed multi-layering of ependymal cells that differed from the typical single layered ependymal cells at the apical surface, while subependymal structures revealed indistinctive neuropil and glia following histological examinations. The ependymal cells which form the epithelial lining of the ventricles were comprised of cuboidal or low columnar cells, with the plasmalemma of abutting cells forming intercellular bridge appearing links by: tight junctions (zonula occludens), intermediate junctions (zonula adherens), desmosomes (macula adherens) and infrequent gap junctions. The choroid plexus revealed cells of Kolmer with several cilia and microvilli. The possible functional components of the ependyma and choroid plexus morphology of the AGR are discussed and thus provide a baseline for further research on the AGR brain.
An analysis of the functionality of selected websites presenting data on air traffic
Authors: Krawczyńska Katarzyna , Karsznia Izabela 
Published: May 2021

Abstract
The subject of the article is the assessment and comparison of the functionality of websites presenting flight data and the current location of aircraft on the map. The following websites were assessed: Flightradar24 (flightradar24.com), RadarBox24 (radarbox24.com), Flightaware (flightaware.com) and Plane-finder (planefinder.com). The credibility of the presented data and the range of functions available on the websites were analyzed in detail. A number of functions included in data sets were compared to the examined websites. Additionally, the possibilities of expanding the analyzed websites and extending the scope of their functions were determined. The issue of using data from air traffic data websites for scientific research was also examined.
Post-secondary Students’ Perception of Flu Immunization
Authors: Sistoso Kathryn 
Published: May 2021

During the H1N1 pandemic, young adults and college students were noted to be susceptible to influenza. Despite the guidelines for post-secondary education issued by the Center for Disease Control and despite informative campaigns implemented by all institutions, young adults still show low immunization rates. This study aims to examine post-secondary students’ perspectives on influenza immunization. A short online questionnaire was designed. The questionnaire included questions about the participants’ age, gender and program of study. Participants were asked if they have recently received the vaccine or if they chose not to, and what were their reasons/views on flu immunization. The study received ethical clearance by St Lawrence College’s (SLC) Research Ethics Board and the online questionnaire was administered via a mass email to all SLC students across the three campuses. Of the 186 participants, 78% were females and 69% were between 18-24 years. 19% of participants reported to receive the vaccination on campus, 38% were vaccinated off-campus, while 43% did not receive the vaccine. The most commonly reported reasons for vaccination among students were being a program requirement (74%) and believing vaccine makes illness milder if they ever contracted the flu (11%). 37% of the non-vaccinating participants perceive the vaccine as unnecessary, while 12% believed that flu vaccine can make them ill. We conclude a significant percentage of students remain unvaccinated and may not view the flu vaccine as important. Misconceptions concerning the flu vaccine exist and providing more clear and accurate information may enhance flu immunization efficiency among students.
The Life and Diaries of Laura Robinson Sills
Authors: Luchenski Lauren 
Published: May 2021

Queen’s University Archives has in its holdings a rich primary source for a study of an early twentieth-century rural woman’s experience of an unsuccessful marriage dating from the time before federal divorce laws were put into effect in 1968. Laura Robinson Sills, from Sandhurst, Ontario, recorded her life in diaries over a 45-year period (1901-1945). Until the diaries were introduced to our class, Professor Straznicky’s Life Writing seminar, they had not been researched and had only been read by Herbert Clarence Burleigh, the genealogist and collector who donated the documents to Queen’s. I will describe the diaries and their provenance and discuss their value for a study of early- to mid-20th- century marriage law and customs in Ontario. Using the Robinson Sills diary as a primary source of information, my presentation will include a timeline of Laura’s marriage, an analysis of how her marriage adheres to and deviates from social norms of the time, and an investigation into her writing method. I will also consider and interpret the diary entries to examine the way in which she records, shares, or does not share, the personal details of her life. Overall, my presentation will explore an important aspect of the social and legal context of the Robinson Sills diary, its material format, and the author’s mode of writing in order to reveal the emotional and social experience of one early-twentieth-century rural Ontario marriage. This will be the first public research presentation on the Robinson Sills Diary.