bluuebunny/crossref_metadata_2025_split huggingface dataset:
Rehabilitation of the Atrophic Maxillary Arch with Tilted Implants Protocol: A Proposed Classification of Various Situations
Authors: Nag Venkat Ratna , Ramanathan Manikandhan , Lokwani Bhavna V , Puppala Sarika 
Published: November 2024

Purpose
The majority of classifications for implant placement are based on the morphology of the available bone. The positions and angulations of implants in all forms of atrophy are not emphasized. Clinicians find it relatively difficult to insert the posterior tilted fixtures such that maximum anchorage of the bone can be obtained for enhanced primary stability, and there is unpredictability since the exit points (implant apex position) of these implants are not known and visualized prior to treatment. The purpose of this article is to classify the entry points, angulations, and exit points for 6 tilted maxillary implants in anterior-posterior distribution for prompt decision-making and ease of surgery as well as to capitalize on the available bone width.

Methods
The retrospective radiographic analysis was performed for 150 maxillary arch edentulous patients restored with fixed prosthesis supported by six tilted implants from April 2021 to April 2023. Post-operative Orthopantomograph (OPG) tracings were performed for maxillary sinus borders to classify the sinus pneumatization, and the entry and exit points of implants were noted with respect to the prosthetic teeth, basal anchoring bone, and implant angulations.

Results
Of the arches treated, 63 were SP1, 34 were SP2, and 16 were SP3 in the maxilla. Many combination arches were encountered as well, including 32 cases of SP1 + SP2 and 5 of SP2 + SP3 combinations. The common preferred entry points were canine, second premolar, and second molar areas.

Conclusions
A functional surgical classification aids in placing all-6 tilted bicortical implants for immediate function while being versatile enough to be used in delayed cases as well. The knowledge of this classification helps to visualize the entry/fixation points, minimizing unpredictable and morbid grafting surgical procedures. It also aids in efficiently delivering patient-centric, minimally-invasive, predictably stable, biomechanically sound, and fixed implant treatments without cantilever in complete edentulism.
The Safety of Digital Mental Health Interventions: Findings and Recommendations From a Qualitative Study Exploring Users’ Experiences, Concerns, and Suggestions
Authors: Taher Rayan , Stahl Daniel , Shergill Sukhi , Yiend Jenny 
Published: November 2024

Background
The literature around the safety of digital mental health interventions (DMHIs) is growing. However, the user/patient perspective is still absent from it. Understanding the user/patient perspective can ensure that professionals address issues that are significant to users/patients and help direct future research in the field.

Objective
This qualitative study aims to explore DMHI users’ experiences, views, concerns, and suggestions regarding the safety of DMHIs.

Methods
We included individuals aged 18 years old or older, having experience in using a DMHI, and can speak and understand English without the need for a translator. Fifteen individual interviews were conducted. Deductive thematic analysis was used to analyze the data.

Results
The analysis of the interview transcripts yielded 3 main themes: Nonresponse: A Concern, a Risk, and How Users Mitigate It, Symptom Deterioration and Its Management, and Concerns Around Data Privacy and How to Mitigate Them.

Conclusions
The results of this study led to 7 recommendations on how the safety of DMHIs can be improved: provide “easy access” versions of key information, use “approved by...” badges, anticipate and support deterioration, provide real-time feedback, acknowledge the lack of personalization, responsibly manage access, and provide genuine crisis support. These recommendations arose from users’ experiences and suggestions. If implemented, these recommendations can improve the safety of DMHIs and enhance users’ experience.
Community Health Center Penetration and Kidney Care Outcomes among Low-Income, Nonelderly Adults with Kidney Failure
Authors: Hall Yoshio N. , Bensken Wyatt P. , Morrissey Suzanne E. , De La Cruz Alcantara Indhira , Unruh Mark L. , Prince David K. 
Published: November 2024

Key Points

Populations who experience health disparities often rely on community health centers (CHCs) for ambulatory care.Among low-income populations, higher CHC penetration is associated with greater preparedness for, and better outcomes after, kidney failure onset.Our study suggests that CHCs provide essential ambulatory care for nonelderly adults who experience kidney health disparities.

Background
In the United States, historically minoritized populations experience disproportionately high incidence of progressive kidney disease but are often unprepared for kidney failure. Owing to limited options for health care, many minoritized patients with kidney disease rely on community health centers (CHCs) for affordable ambulatory care.

Methods
We conducted a retrospective cohort study of 139,275 adults aged 18–64 years who were enrolled in Medicaid or uninsured at the time of ESKD onset during 2016–2020. We examined whether CHC penetration of the state-level low-income population was associated with ESKD incidence, process measures reflective of pre-ESKD care quality, and survival and kidney transplant waitlisting 1 year after ESKD onset. We obtained population characteristics of the 1370 Health Resources and Services Administration CHCs and 50 states (and DC) for the same period.

Results
Mean CHC penetration among low-income residents (percentage of low-income residents who were CHC patients in each state) was 36% (SD, 19%). The Northeast (census region) had the highest proportion of states with high CHC penetration, and the South had the highest proportion of states with low CHC penetration. The prevalence of diabetes mellitus, high BP, and obesity were lower in states with high versus low CHC penetration. There were no significant differences in age- and sex-standardized ESKD incidence according to CHC penetration. In individual-level analyses, higher CHC penetration was significantly associated with a higher likelihood of prolonged nephrology care (adjusted odds ratio [OR], 1.04 [95% confidence interval (CI), 1.03 to 1.05]), arteriovenous fistula or graft usage at hemodialysis initiation (OR, 1.11 [95% CI, 1.09 to 1.12]), home dialysis usage (OR, 1.04 [95% CI, 1.02 to 1.05]), and 1-year kidney transplant waitlisting (OR, 1.19 [95% CI, 1.18 to 1.21]) and ESKD survival (OR, 1.06 [95% CI, 1.04 to 1.07]).

Conclusions
Among Medicaid enrollees and uninsured adults with incident kidney failure, higher CHC penetration was associated with a lower prevalence of kidney disease risk factors and better preparedness for, and higher survival after, ESKD onset. These findings warrant additional study into the role and effect of CHCs in addressing long-standing disparities in kidney health.
Pembuatan POC Untuk Meningkatkan Produktivitas Kelompok Wanita Tani Di Tiyuh Marga Kencana
Authors: Syarif Admi , Junaidi Akmal , Kurniawati Ani , Nadila Ayu , Yulianti Sugaluh , Indah Iva Mutiara , Egeustin Yoannisa , Wibowo Syachrul Priyo , Jamaludin Muhammad 
Published: November 2024

Pertanian masih menjadi mata pencaharian sebagian besar tenaga kerja Indonesia, terutama yang tinggal di pedesaan. Kelompok Wanita Tani (KWT) adalah suatu wadah yang dapat dijadikan oleh perempuan sebagai kesempatan untuk berpartisipasi dalam pembangunan dibidang pertanian. Pembuatan pupuk organik cair dicoba diterapkan pada Kelompok Wanita Tani (KWT) di Tiyuh Marga Kencana, Kecamatan Tulang Bawang Udik, Kabupaten Tulang Bawang Barat. KWT di Tiyuh Marga Kencana merupakan kelompok perempuan/ibu rumah tangga dalam kegiatan yang produktif dibidang pertanian (budidaya, pengolahan dan usaha). Kegiatan pengabdian ini bertekad untuk menyosialisasikan kepada masyarakat tentang pemanfaatan sampah rumah tangga dengan pemanfaatan sampah organik menjadi POC dengan metode ember tumpuk. Ember Tumpuk adalah komposter sederhana yang dibuat dengan menyatukan 2 buah ember, komposter ini sangat cocok digunakan untuk mengolah limbah organik/sampah dapur rumah tangga.
Edukasi Pengolahan Limbah Puntung Rokok Menjadi Pestisida Nabati Di Desa Sumberejo Kecamatan Sumberejo Kabupaten Tanggamus
Authors: Ambarwati Yuli , Laila Aspita , Bahri Syaiful , Endaryanto Teguh 
Published: November 2024

Untuk meminimalisir pencemaran puntung rokok, pemanfaatan ekstrak nikotin, eugenol serta fenol dari sampah puntung rokok dapat digunakan sebagai bahan baku biopestisida. Pengabdian kepada Masyarakat Jurusan Kimia Unila berupa edukasi pengolahan limbah puntung rokok menjadi biopestisida di Desa Sumberejo menggunakan peralatan sederhana. Pembuatan produk biopestisida puntung rokok telah berhasil dikomersialisasikan sebagai solusi bagi para petani yang memerlukan pestisida organik dengan harga terjangkau. Metode pengabdian adalah praktik langsung pembuatan Biopestisida dari puntung rokok. Kegiatan ini terbukti dapat mengurangi limbah puntung rokok di Desa Sumberejo dan mengurangi dampak kerusakan lingkungan akibat penggunaan pestisida sintetik, serta menjadi sumber pendapatan BUMDES karena biopestisida hasil olahan limbah rokok dapat dijual. Evaluasi kegiatan ini menunjukkan rata-rata nilai tes 71%. Hal ini menunjukkan bahwa pengetahuan masyarakat tentang puntung rokok dan permasalahannya serta pengolahannya telah meningkat secara signifikan.
Pelatihan Pembuatan Aplikasi Mobile untuk Guru Teknologi Informasi dan Komunikasi (TIK) Sekolah Menengah di Lampung
Authors: Andrian Rico , Sakethi Dwi , Taufik Rahman , Muhaqiqin Muhaqiqin 
Published: November 2024

Aplikasi mobile dimanfaatkan untuk berbagai tujuan di tengah persaingan dan era digitalisasi bisnis seperti layanan pelanggan, pemasaran berbasis mobile, pengembangan produk bahkan pengumpulan data pelanggan. Kegiatan pengabdian kepada masyarakat ini dilakukan dalam bentuk kegiatan pelatihan pengenalan pembuatan aplikasi mobile bagi Guru TIK Sekolah Menengah di Lampung. Pembuatan aplikasi mobile menjadi hal yang penting dalam bidang teknologi informasi dan komunikasi (TIK). Perkembangan aplikasi mobile sangat pesat, tetapi pembelajaran mengenai pembuatan aplikasi mobile masih jarang dalam kegiatan belajar mengajar karena permasalahan terkait rendahnya pengetahuan dan keterampilan guru TIK dalam membuat aplikasi mobile. Berdasarkan permasalahan tersebut, diadakan pelatihan untuk membantu guru TIK memahami teknologi dan bahasa pemrograman yang digunakan dalam membuat aplikasi mobile. Tahapan pelatihan ini meliputi survei, demonstrasi, diskusi dan praktik. Hasil dari pelatihan ini menunjukan bahwa pengetahuan guru-guru TIK sekolah menengah di Lampung bertambah terkait pembuatan aplikasi mobile.
PENGARUH SUPLEMENTASI RUMPUT LAUT PADA SAPI POTONG TERHADAP PRODUKSI GAS METANA DAN DINITROGEN OKSIDA KULTUR FESES
Authors: Abhirama Farid , Erwanto Erwanto , Muhtarudin Muhtarudin , Liman Liman 
Published: November 2024

Penelitian ini bertujuan untuk mengetahui pengaruh suplementasi rumput laut pada sapi potong terhadap produksi gas metana dan dinitrogen oksida kultur feses. Penelitian ini dilaksanakan pada bulan Oktober – Desember 2023 di KPT Maju Sejahtera, Kecamatan Tanjung Sari, Kabupaten Lampung Selatan. Penelitian ini dilakukan menggunakan Rancangan Acak Kelompok (RAK) yang terdiri dari 3 perlakuan dan 6 ulangan, dengan menggunakan 18 ekor sapi potong lokal. Perlakuan yang diberikan yaitu P1; rumput pakchong + konsentrat (perbandingan 70%:30% BK pakan), P2; rumput pakchong + konsentrat (perbandingan 70% : 30% BK pakan) + rumput laut Eucheuma cottonii (4% BK pakan) dan P3; rumput pakchong + konsentrat (perbandingan 70% : 30% BK pakan) + rumput laut Eucheuma cottonii (4% BK pakan) + biochar (0,05% BK pakan). Variabel yang diamati yaitu Produksi Gas Metana dan Dinitrogen Oksida. Hasil penelitian menunjukkan puncak produksi gas metana (CH4) terjadi pada hari ke 0 sampai ke 3 yaitu sebesar 2936,90 g/ton feses/hari. Puncak produksi dinitrogen oksida terjadi pada hari ke 3 sampai ke 12 yaitu sebesar 43430,59 g/ton feses/hari.
Pengaruh Pemberian Ekstrak Daun Kelor (Moringa Oleifera) Dalam Air Minum Terhadap Bobot Kerabang, Bobot Albumen Dan Bobot Yolk Telur Ayam Ras Petelur
Authors: Saputra Rio , Riyanti Riyanti , Septinova Dian , Nova Khaira 
Published: November 2024

Penelitian ini bertujuan untuk mengetahui (1) pengaruh ekstrak daun kelor terhadap bobot kerabang, bobot albumen, dan bobot yolk dan (2) level terbaik pemberian ekstrak daun kelor terhadap bobot kerabang, bobot albumen, dan bobot yolk telur ayam ras petelur. Penelitian ini dilaksanakan pada Januari—Maret 2023 di CV Margaraya Farm, Dusun Sukananti, Desa Margaraya, Kecamatan Natar, Kabupaten Lampung Selatan. Metode penelitian yang digunakan adalah Rancangan Acak Lengkap (RAL) yang terdiri dari 4 perlakuan dan 6 ulangan, setiap satuan percobaan berisi 5 ekor ayam. Perlakuan yang diberikan yaitu air minum tanpa ekstrak daun kelor (P0), Air minum dengan penambahan ekstrak daun kelor 0,5% (0,5ml ekstrak + 99,5ml air) (P1), Air minum dengan penambahan ekstrak daun kelor 1% (1ml ekstrak + 99ml air) (P2), Air minum dengan penambahan ekstrak daun kelor 1,5% (1,5ml ekstrak + 98,5ml air) (P3). Data yang diperoleh dianalisis menggunakan analisis ragam (ANOVA) pada taraf 5% dan apabila hasil pengamatan menunjukkan pengaruh nyata maka dilanjutkan dengan uji BNT. Hasil penelitian menunjukkan bahwa pemberian ekstrak daun kelor dengan dosis yang berbeda dalam air minum berpengaruh tidak nyata (P>0,05) terhadap bobot kerabang, bobot albumen, dan bobot yolk telur ayam ras petelur.
PENGARUH PERSENTASE ANTARA AMPAS TAHU DAN LIMBAH IKAN SEBAGAI MEDIA TUMBUH MAGGOT (Black Soldier Fly)
Authors: Arifin M. Deni , Fathul Farida , Farda Firia Tsani , Liman Liman 
Published: November 2024

Penelitaan ini bertujuan untuk mengetahui pengaruh antara ampas tahu dan limbah ikan dengan persentase berbeda sebagai media tumbuh terhadap kualitas morfologi (warna, panjang, lebar), produksi per ekor, dan produksi segar maggot black soldier fly yang dihasilkan. Penelitian ini dilaksanakan pada Februari-April 2023, di Kelurahan Karang Anyar, Kecamatan Jati Mulyo, Bandar Lampung. Penelitian ini menggunakan Rancangan Acak Lengkap (RAL) yang terdiri dari 5 perlakuan dan 3 ulangan. Perlakuan yang diberikan yaitu P1: ampas tahu 25% BK + limbah ikan 75% BK; P2: ampas tahu 37,5% BK + limbah ikan 62,5% BK; P3: ampas tahu 50% BK + limbah ikan 50% BK; P4: ampas tahu 62,5% BK + limbah ikan 37,5% BK; dan P5: ampas tahu 75% BK + limbah ikan 25% BK. Peubah yang diamati meliputi morfologi maggot black soldier fly (warna, panjang, lebar), produksi per ekor, dan produksi segar. Data yang diperoleh dianalisis menggunakan Analysis of Variance (ANOVA) dan dilanjutkan dengan uji jarak berganda duncan’s multiple range test (DMRT). Hasil penelitian persentase media tumbuh memberikan pengaruh sangat nyata terhadap panjang, lebar, produksi per ekor dan produksi segar maggot (P<0,01), sedangkan pada warna maggot (P<0,05) tidak nyata. Media tumbuh pada persentase ampas tahu 50% + limbah ikan 50% (P3) memberikan pengaruh terbaik terhadap panjang, lebar, produksi per ekor dan produksi segar maggot black soldier fly.
Potential Analysis of Biomass Briquettes from Sugarcane Milling Waste for Boiler and Generator Turbines Stations
Authors: Hajad Makbul , Syahputra Muhammad Hafidz , Yulianta Raditya , Radi Radi , Markumningsih Sri , Purwantana Bambang 
Published: November 2024

The decrease in sugar productivity was due to insufficient process of the sugar production process such as the low efficiency of boiler machine input energy. This study aims to analyze the potential use of Bagasse Briquetting Fuel (BBF) made from sugarcane milling waste at PT Madubaru as an attempt to obtain the optimal efficiency of boiler machine. Analysis of the effect of the adhesive concentration on the BBF quality was carried out to determine the optimal composition of the use of adhesive materials. Economic analysis was also conducted to determine the economic potential of BBF development. The analysis revealed that the BBF from Sugarcane milling waste has Calorific Value of 17,367-19,497 KJ/kg and density of 0.740-0.915 g/cm3. BBF with an adhesive variation of 1.25% is the BBF with the highest efficiency because it meets the needs of boiler fuel with the least amount of 100.8 tons/day for the operation of 1 boiler machine. The development of BBF from sugarcane milling waste has a selling value of Rp1.390.5,-/kg much lower than the existing biomass fuels found in the market. Keywords: Bagasse briquetting fuel; Boiler machine; Energy efficiency; Renewable energy; Sugarcane milling waste.
Perbandingan Cheapest Insertion Heuristic dan Algoritma Christofides untuk Menentukan Tour Pasar Tradisional di Kota Bandar Lampung
Authors: Aswin Micelle Yap , Wamiliana Wamiliana , Fitriani Fitriani , Ansori Muslim , Notiragayu Notiragayu 
Published: November 2024

The Traveling Salesman Problem is a problem to determine the cheapest cost for a salesman staring from original location to all destination on his objective and return to the original location. In this study, a comparison of the Cheapest Insertion Heuristic and the Christofides Algorithm will be carried out to determine the traditional market tour in Bandar Lampung. The results obtained show that the solution obtained manually using the Cheapest Insertion Heuristic and the Christofides Algorithm produce the same solution, which is 216 minutes, while using Python programming, the Cheapest Insertion Heuristic provides a solution in 217 minutes and using the Christofides Algorithm in 226 minutes. However, because the solution obtained manually or by programming still produces intersections in the tour, to get better solution, the tour may be revised/repaired by removing the intersections. After repairing the tour, the same solution is obtained, whether using the Cheapest Insertion Heuristic or the Christofides Algorithm, which is 216 minutes.
Voices from the ‘Margins’ of a Pandemic: Impact of a Lack of Employee Voice on Health and Safety for Community Support Workers During COVID-19
Authors: Hurd Fiona , Ravenswood Katherine , Amber Nicholson 
Published: November 2024

In the context of a community-based participatory project, we interviewed 84 community support workers to explore their experiences through the Covid-19 pandemic, Participants highlighted significant WHS concerns that either arose during, or were heightened due to, the pandemic working conditions. Participants detailed their efforts to activate employee voice mechanisms across the ‘staircase of voice’ (Wilkinson, 2010). However, despite significant efforts to employ these mechanisms, participants’ messages were not received. This reinforces the importance of both workplace and societal conditions that support both the delivery and receiving of employee voice messages (Romney, 2021). Within the context of significant gendered regimes and poor societal perceptions of carework, the effectiveness of voice mechanisms was diminished, leading to significant erosion of WHS conditions.
Pengaruh Berbagai Jenis Bakteri Asam Laktat (BAL) Terhadap Kecernaan Fraksi Serat dan Degradasi Bahan Kering Pelepah Sawit Terfermentasi
Authors: Rohmat Nazla Nadifah Banafsaj 
Published: November 2024

Penelitian ini bertujuan untuk mengetahui pengaruh fermentasi pelepah sawit dengan menggunakan berbagai jenis bakteri asam laktat (BAL) yaitu Lactobacillus plantarum dan Pediococcus pentosaceus terhadap degradasi bahan kering (DBK) dan kecernaan fraksi serat (NDF dan ADF) secara in vitro. Metode penelitian ini menggunakan Rancangan Acak Lengkap (RAL) dengan 4 perlakuan yaitu P1 (fermentasi pelepah sawit tanpa penambahan BAL), P2 (fermentasi pelepah sawit dengan L. plantarum), P3 (fermentasi pelepah sawit dengan P. pentosaceus) dan P4 (fermentasi pelepah sawit dengan kombinasi L. plantarum dan P. pentosaceus). Hasil penelitian menunjukkan bahwa fermentasi menggunakan berbagai jenis BAL berpengaruh terhadap nilai DBK, kecernaan NDF dan kecernaan ADF. Perlakuan fermentasi pelepah sawit dengan kombinasi L. plantarum dan P. pentosaceus menunjukkan hasil terbaik dalam meningkatkan degradasi DBK, kecernaan NDF dan kecernaan ADF. Fermentasi pelepah sawit dengan kombinasi L. plantarum dan P. pentosaceus menghasilkan nilai DBK sebesar 41,10%, kecernaan NDF sebesar 18,01%, dan kecernaan ADF sebesar 16,10%.
The Effect of Resiquimod Levels on the Motility of Etawah Crossbreed Goat Spermatozoa Result from Separation
Authors: Citaliani Rostika Yulia , Solihati Nurcholidah , Setiawan Rangga 
Published: November 2024

The study aims to determine the effect of resiquimod (R848) levels on the motility of spermatozoa of Etawah Crossbreed goats resulting from separation, and to determine the opimum level of use of resiquimod (R848) on the motility of spermatozoa of Etawah Crossbreed goats resulting from separation. The object used in this research was fresh semen from 4 years old Etawah Crossbreed goats. This research used a Completely Randomized Design method with 4 treatments (P0 = 0 µM R848, P1 = 0,3µM R848, P2 = 0,6 µM R848, dan P3 = 0,9 µM R848). Based on the research results, it shows that R848 has a significant effet on sperm motility in the lower layer but has no effect on sperm motility in the upper layer resulting from the separation. The research data was followed by the Duncan test. The result showed that motility of P3 (80,70%) was significantly lower than P0 (89,77%), P1 (89,52%), dan P2 (89,38%). It was cocluded that resiquimod (R848) had an effect on lower layer spermatozoa motility, with an optimum level of 0,3 µM in Etawah Crossbreed goat spermatozoa.
La interoperabilidad en la administración de justicia bonaerense y la calidad del dato como elemento clave para el acceso a derechos
Authors: Lezcano José María 
Published: November 2024

En este trabajo se analizarán algunos de los aspectos del proceso de digitalización de los procesos judiciales en la provincia de Buenos Aires. A partir de presentar el estado de algunos avance, particularmente en el proceso de interoperabilidad organizacional, puntualmente entre el sistema de Gestión Integral Multi-Fuero y Multi-Instancia de la Suprema Corte de Justicia provincial -AUGUSTA- y el Sistema Informático del Ministerio Público - en adelante SIMP-. Buscando integrar un marco teórico interdisciplinar, a partir de los conceptos de interoperabilidad y calidad del dato analizan en vínculo directo con conceptualizaciones clave en el mundo jurídico, como lo son la jurisdicción y competencia, el debido proceso legal y defensa en juicio. En definitiva el acceso a la justicia en términos de acceso a derechos. En términos metodológicamente se ha considerado una aproximación cualitativa basada en un trabajo de campo de diversas fuentes, directas e indirectas: análisis documental, estadísticas, entrevistas, entre otras. Se plantean cuestiones atinentes a los datos como información personal y de mencionan desafíos presentes en torno a la implementación de la Inteligencia Artificial en la Administración de Justicia. Considerando los aspectos organizativos, técnicos e institucionales de los procesos de interoperabilidad de sistemas y plataformas y a partir de la identificación de algunas problemática de carácter técnico, pero con impacto en lo organizativo y jurídico, surgen preguntas relacionadas con el proceso de apropiación de tecnologías en el ámbito de la Justicia.