bluuebunny/crossref_metadata_2025_split huggingface dataset:
mlmpower: An R Package for Conducting Power Analysis and Data Simulation with Multilevel Models
Authors: Keller Brian T 
Published: November 2024

Power analysis is a critical step in designing studies involving multilevel models, yet existing approaches can be complex and limited in flexibility. This paper introduces mlmpower, an R package designed to simplify Monte Carlo power analysis for multilevel models. The package accommodates various model specifications, including cross-level interactions, random slopes, and within-cluster and between-cluster predictors. Unlike other methods, which often require a pilot study or extensive prior data, mlmpower uses intuitive effect size metrics to simulate data and estimate power with confidence intervals. Inspired by ggplot2, the package's syntax allows for modular model building, making it accessible even to researchers with minimal simulation experience. Additionally, mlmpower supports including missing data mechanisms, offering more realistic power estimates for longitudinal and cross-sectional studies.
An Observational Study on Implication of Postoperative Visceral Edema, Assessed by CT Scan, on Complications Following Bowel Resection and Anastomosis, in a Tertiary Care Hospital in Maharashtra, India
Authors: Goel Richa , Gaidole Rachana , Bandgar Amol , Saha Arup , Banerjee J K 
Published: November 2024

Introduction: Surgeries involving bowel resection and anastomosis are quite common. Fluid overload, leading to tissue edema and impaired tissue perfusion, may contribute to anastomotic leak, which is one of the most dreaded complication.
Methods: In our current study, CT scan, done on postoperative day-4, was used to assess visceral edema, and its effect on development of complications post bowel anastomosis and increase in value of cross section of body trunk area ≥20% was taken as an independent risk factor of severe complication.
Results: Twenty three patients were enrolled in the study, 7 of them developed complications. The most common complication observed was wound infection (Clavein Dindo grade II). Only 2 patients (28.57%) had an increase in CT area >20%. Among patients who developed complications, 33.3% had an increase in CT area and 28.6% did not. Various other factors – preoperative albumin level, timing of surgery, duration of surgery – also lead to development of complications. Statistically, no significant association could be derived between the increase in CT area and development of complications.
Conclusion: As per the findings of the current study, higher fluid balance was not reflected by an increase in body surface area on CT Scan. Hence, use of CT scan as a tool to assess visceral edema needs further evaluation.
Lived Experiences of Parents of Children Having Type-I Diabetes Aged 6 to 12 Years
Authors: Sapkota Sabitra 
Published: November 2024

Type I diabetes is chronic illness which change the life styles of parents, children as well as the entire family. Parents faced many challenges such as care, management (insulin administration, diabetic diet, blood glucose monitoring) and treatment cost. Objective of the study is to explore lived experience of parents of children having type I diabetes. A qualitative phenomenological study design was adopted, and total eleven parents (8 mothers and 3 fathers) were selected as participants by using non probability purposive sampling procedure. Data was gathered by using in-depth interview. The huge information was reduced to smaller statements by grouping similar responses to get actual meaning which were coded, categorized and organized to sub themes and themes. Findings revealed that parents had experienced so many ups and downs emotional feelings during the journey of treatment. They experienced nature of type I diabetes like treatment need for the whole of life, hardship during diagnosis process, facing the diabetes complications, financial crisis and need for treatment in emergency situation. The study also revealed that parents felt permanent impact from their child’s previous health condition and disruption of family unit but they were hopeful about their children’s future consequences. They struggled for supporting and caring their children’s lives at all times in the best possible ways. They learnt to live with children having Type-I diabetes. Parents suggested to launch awareness programs to educate school teachers, staffs and health worker for early diagnosis.
Nurses' careers in the middle of uncertainty futures
Authors: Wijayanti Kartika , Marasigan-Pamintuan Marilou 
Published: November 2024

Over the next ten years, the nursing workforce will be tested in several ways. These include the need to respond to an aging population with more complex and intense medical needs, the demand for more primary care capacity, and the requirement to bridge the gap between medical and health care and the social factors influencing people's health and well-being. Additionally, an education system that better prepares nurses for practicing in community-based settings with diverse populations that face a variety of lived experiences is required to build a future workforce capable of effectively providing the health and health care that society requires. This will require a substantial increase in the nursing workforce's numbers, types, and distribution. If health systems, governments, schools, and payers can capitalize on opportunities in programming, policy, and finance, then these improvements will take place more quickly, more evenly, and with more success.
Keywords: Nurses’ career; nursing development; healthcare; quality of care; clinical practice
A bibliometric analysis of garlic to improve wound healing
Authors: Asnaniar Wa Ode Sri , Soesanto Edy , Pranata Satriya , Armiati Yunie , Mubin Mohammad Fatkhul 
Published: November 2024

The use of complementary therapies in wound healing continues to grow. One natural ingredient that has many benefits is garlic—however, limited studies have investigated this area of interest. The purpose of the study was to explore the trend of the number of publications, citations, and the journal with the highest number of publications, which field has the most consent to publish, network visualization, overlay visualization, and density visualization on the effect of garlic in wound healing through bibliometric analysis—Bibliometrics analysis used in this study. Records are identified through database searches. Paper restricted in publications years 2018-2023, focus in the field of Health sciences, nursing, public health, clinical sciences and publication type is the article. Data were analyzed using a VOS viewer, and then the analysis was reviewed by co-occurrence and co-authors. Publication searches related to garlic and wound healing yielded 47,351 articles. After screenings through the specified criteria, the number of articles obtained was 12,472. The peak of publications about garlic and wound healing was in 2018. On the other hand, the lowest number was in 2023. Research on the effect of garlic in wound healing is carried out by the fields of medicine, public health or nurses and other fields such as agricultural, vetenary, and food sciences, medical and biomolecular chemistry, pharmacology and pharmaceutical sciences, and medical biotechnology. The peak of publications about precision health and precision medicine was in 2021; the lowest number was in 2023. Research related to the use of garlic has been carried out on acute and diabetic wounds. However, safe concentrations are a concern for more in-depth research on their use in wound care.
Keywords: Wound care; wound healing; garlic; bibliometric analysis; nursing research
Implementasi Buku Saku untuk Meningkatkan Pengetahuan dan Perilaku Pemeliharaan Kesehatan Gigi dan Mulut pada Murid Madrasah Tsanawiyah Al-Mu’min Kecamatan Tamansari Kota Tasikmalaya
Authors: Rahayu Culia , Sopianah Yayah , Robbihi Hilmiy Ila 
Published: November 2024

Masalah kesehatan gigi dan mulut yang sering dialami oleh remaja, antara lain gigi berlubang, posisi gigi yang tidak beraturan/tidak rapi, adanya pewarnaan pada gigi dan cidera pada gigi/ traumatik pada gigi. Kebersihan mulut yang buruk bisa berdampak negatif pada kesehatan dan kualitas hidup secara keseluruhan. Salah satu indikator utama kebersihan mulut adalah frekuensi menyikat gigi. Kebiasaan menyikat gigi yang dilakukan secara teratur pada masa remaja biasanya dipertahankan hingga dewasa dan dapat mengurangi beban penyakit, karena mungkin memiliki peran protektif terhadap faktor risiko kario-metabolik. Pada kenyataannya remaja di Indonesia dilaporkan memiliki masalah kesehatan gigi dan mulut meningkat dari 25% pada tahun 2013 menjadi 56% pada tahun 2018, dan 73% pernah menderita karies pada tahun 2018. Di Jawa Barat (2021) masalah gigi berlubang diderita oleh 45,7%, gusi bengak 15,4%. Berdasarkan hasil survei permasalahan yang ditemukan pada beberapa orang murid Madsarasah Tsanawiyah (MTs) Al-Mu’min Kecamatan Tamansari Kota Tasikmalaya lebih dari 50% mengalami karies, hampir semuanya melaksanakan menyikat gigi 2 kali sehari (tetapi tidak tepat waktu), dan teknik menyikat gigi yang kurang tepat. Perilaku kesehatan gigi dan mulut seseorang dapat dipengaruhi oleh faktor lingkungan, salah satunya lingkungan keluarga yang merupakan kunci dalam mendukung pilihan dan gaya hidup sehat remaja. Strategi untuk mencapai Indonesia bebas karies 2030 dengan meningkatkan upaya promotif dan preventif. Upaya peningkatan kesehatan gigi dan mulut adalah berbagai kegiatan secara serentak, teratur dan berkesinambungan untuk meningkatkan derajat kesehatan gigi dan mulut masyarakat salah satunya melalui penyuluhan. Masa remaja merupakan masa penting karena terjadi perkembangan intelektual, sosial, emosional dan kognitif. Murid MTs rata-rata berusia 12 – 15 tahun. Remaja mempunyai tingkat kesadaran tinggi daripada anak-anak sehingga remaja dapat menjadi target penyuluhan yang tepat dan sudah mampu berfikir efektif dan sistematis Hasil dari kegiatan pengabdian ini adalah: 1) Ada peningkatan pengetahuan pemeliharaan kesehatan gigi dan mulut pada murid MTs. Al-Mumin Kecamatan Tamansari Kota Tasikmalaya sesudah diberi pendidikan kesehatan gigi dengan media buku saku. 2) Ada peningkatan perilaku pemeliharaan kesehatan gigi dan mulut pada murid MTs. Al-Mumin Kecamatan Tamansari Kota Tasikmalaya setelah diberi pendidikan kesehatan gigi dengan media buku saku. 3) Ada peningkatan kebersihan gigi dan mulut pada murid MTs. Al-Mumin Kecamatan Tamansari Kota Tasikmalaya sesudah diberi pendidikan kesehatan gigi dengan media buku saku
Korelasi Dukungan Sosial dengan Kepatuhan Minum Obat pada Pasien Skizofrenia Rawat Jalan
Authors: Novitayani Sri , Ruchina Syiva , Dineva R Farah 
Published: November 2024

Latar Belakang: Umumnya, masalah utama kesehatan mental pada pasien skizofrenia rawat jalan adalah kurangnya dukungan sosial untuk membantu mereka mematuhi pengobatan. Pasien skizofrenia rawat jalan sulit untuk mematuhi obat mereka karena mereka membutuhkan bantuan dari orang lain untuk terus mengonsumsi obat seperti yang diresepkan. Oleh karena itu, dukungan sosial memiliki peran penting dalam merawat pasien skizofrenia rawat jalan. Tujuan dari penelitian ini adalah untuk menentukan hubungan antara dukungan sosial dan kepatuhan pengobatan pada pasien skizofrenia rawat jalan di Rumah Sakit Jiwa Aceh.
Metode : Penelitian ini merupakan studi korelasi deskriptif dengan pendekatan cross sectional. Sampel dari penelitian ini adalah 110 pasien skizofrenia rawat jalan yang datang ke poliklinik di Klinik Jiwa Aceh Keperawatan Kesehatan dengan kriteria inklusi terdiri dari pasien rawat jalan dengan diagnosis skizofrenia, lanjut usia di atas 18 tahun, skor BPRS kurang dari 41 dan memiliki komunikasi yang baik. Instrumen yang digunakan dalam penelitian ini termasuk, kuesioner data demografis untuk mengumpulkan data responden, Multidimensional scale of perceived social support (MSPSS) untuk mengumpulkan dukungan sosial dari keluarga, teman, dan orang lain, dan juga kuesioner kepatuhan Pengobatan Perilaku untuk mengumpulkan data kepatuhan minum obat.
Hasil : Menurut analisis Uji Spearmean Rank, hasilnya menunjukkan bahwa ada korelasi yang signifikan antara dukungan sosial dan kepatuhan pengobatan di antara pasien skizofrenia rawat jalan yang mengunjungi poliklinik di Rumah Sakit Jiwa Aceh (p < 0,05).
Kesimpulan : Dukungan sosial merupakan salah satu faktor yang dapat mempengaruhi kepatuhan pengobatan di pasien skizofrenia rawat jalan. Semakin tinggi dukungan sosial yang diberikan kepada pasien rawat jalan skizofrenia, semakin tinggi kepatuhan pengobatan yang mereka miliki.
Analisis Minat Berinvestasi Generasi Z (Net Generation) UIN Suska Riau Pada Pasar Modal Dari Perspektif: Literasi Keuangan, Motivasi Investasi Dan Teknologi Informasi
Authors: Aira Aras , Fauzana Riri , Djamil Nasrullah 
Published: November 2024

The aim of this research is to determine the influence of financial literacy, investment motivation and information technology on the interest of Generation Z Uin Suska Riau to invest in the Indonesian Capital Market. Research was conducted on students and female students at Uin Suska Riau, the sampling technique used in this research was puposive sampling, using several criteria, namely students who were sampled were students and female students who had opened a stock account on the Indonesian capital market. Data was taken from students who registered in the Uin Suska Riau Investment Gallery. Data processing using SEM_PLS with Smart PLS Version 3. The results of the research show that the results of the Path Coefficient test for the three variables, namely financial literacy, investment motivation and information technology, have a positive value on Generation Z Uin Suska's interest in investing in the capital market, from the results of the hypothesis test. carried out, it can be concluded that financial literacy has an influence on Uin Suska Riau generation Z's interest in investing, but investment motivation and information technology have no influence on generation Z's investment interest.
Keywords: : Generation Z interests; Financial literacy; investment motivation and information technology;investment interest.
PENERAPAN ENERGI TERBARUKAN DI KAWASAN WISATA LUMBUNG MATARAMAN DESA BENDUNG GUNUNGKIDUL
Authors: Bakar Syafriyudin Abu , Waluyo Joko , Sholeh Muhammad , Herry Noordiana 
Published: November 2024

The community service activities carried out focus on the application of renewable energy in the Lumbung Mataraman tourism area, Bendung Village, Semin, Gunungkidul. The community service activities carried out are strategic steps in supporting a sustainable green economy. By utilising appropriate technology (TTG) in the form of solar panels and wind turbines, this area is expected to reduce dependence on fossil energy and increase operational energy efficiency. In addition, the tourism area has the potential to become an educational model on the use of renewable energy, both for local communities and tourists. The methods used in this research include qualitative and quantitative approaches. The qualitative approach was conducted through interviews with local stakeholders, such as tourism area managers, communities, and renewable energy experts. In addition, field observations were conducted to understand energy needs and the potential for implementing renewable energy technologies. The quantitative approach involved analysing current energy consumption data and calculating the potential of renewable energy that can be applied, such as solar panels and wind turbines. The results of the activities show that the implementation of renewable energy in Lumbung Mataraman can reduce dependence on fossil energy sources, lower carbon emissions, and provide additional economic benefits through energy cost savings and educational media in the use of renewable energy.
Netnography Study of Warganet's Response to Flexing Action on ASN in @official iNews Youtube Video "Mario Dandy Satriyo, Official's Son Likes to Show Off Wealth on Social Media #iNewsSiang 23/02"
Authors: Suryatini Ni Wayan 
Published: November 2024

Kemunculan media sosial memicu keinginan seseorang untuk tampil dan mendapat pengakuan dari publik. Media sosial telah berubah menjadi medan pertempuran popularitas, di mana setiap orang ingin menjadi sensasi fokus di dunia maya. Aksi pamer atau flexing menjadi fenomena baru di era media sosial. Flexing atau pamer yang dilakukan oleh keluarga pejabat Aparatur Sipil Negara (ASN), baik istri maupun anak kian marak di media sosial. Konten Youtube pada kanal berita @official iNews yang berjudul “Mario Dandy Satriyo Anak Pejabat Gemar Pamer Harta di Media Sosial #iNewsSiang 23/02” menjadi viral dan menuai kritik di kalangan warganet. Penelitian ini mencoba menganalisis bagaimana sudut pandang dan perilaku warganet terhadap video flexing Mario Dandy selaku anak pegawai Ditjen Pajak. Komentar warganet merupakan ekspresi di dunia maya, yang dalam hal ini terbingkai melalui kolom komentar di unggahan konten Youtube. Dengan menggunakan studi netnografi, hasil analisis komentar warganet ternyata menunjukkan respon negatif dan tidak ditemukan sama sekali respon positif. Mereka mengkritik, kecewa terhadap sikap Mario Dandy yang berujung pada sikap skeptis terhadap pemerintah. Komentar-komentar warganet dikelompokkan menjadi beberapa tema yaitu sikap pandangan warganet terhadap flexing , ajakan dan harapan agar pelaku flexing mendapat ganjaran yang setimpal dan yang ketiga sikap skeptis dan ragu terhadap institusi pemerintah.
Novel sounds, native responses: exploring the acoustic consequences of Eleutherodactylus johnstonei’s invasion in urban areas
Authors: Melo Natalia Bispo Vieira , Both Camila , Brasileiro Cinthia A. 
Published: November 2024

BackgroundBiological invasions pose a critical threat to biodiversity, affecting ecological balance and native species’ communication. Eleutherodactylus johnstonei, an exotic anuran in São Paulo, vocalizes at intensities that could interfere with native anuran species, potentially causing acoustic masking.MethodsWe evaluated the effects of E. johnstonei's calls on the vocalizations of two native species, Scinax imbegue and Physalaemus cuvieri, both with and without spectral overlap with the invasive species. Field playbacks were conducted using six versions of stimuli, including E. johnstonei's calls, the native Boana bischoffi (as a control), and white noise. We recorded response calls and behavioral changes of S. imbegue and P. cuvieri males.ResultsThe calls of E. johnstonei did not affect the spectral or temporal parameters of the native species’ announcement calls. However, S. imbegue males displayed behavioral responses such as cessation of vocalization or movement away from the noise source. Additionally, B. bischoffi's calls and white noise influenced native species’ call parameters.DiscussionOur findings reveal that exotic species’ vocalizations may disrupt native anurans’ acoustic behavior. This impact varies with species and context, underlining the need for further research on anuran acoustic interactions across different frequencies and acoustic environments to fully understand the effects of exotic acoustic interference.
Coping strategies for managing diabetes distress in adults with type 1 and type 2 diabetes: a cross-sectional study on use and perceived usefulness
Authors: Embaye Jiska , Snoek Frank Jan , de Wit Maartje 
Published: November 2024

PurposeThe purpose of this study is to identify the use of coping strategies employed by adults with type 1 and type 2 diabetes to manage diabetes distress, using data provided by persons with lived experiences.MethodsAdults with diabetes completed an anonymous online survey on Diabetes.co.uk, describing their coping strategies. A follow-up survey assessed the frequency of use and perceived usefulness of these strategies. Statistical analyses, including Mann-Whitney U tests, compared strategy use and usefulness between participants with low vs. high diabetes distress.Results625 adults with T1D or T2D completed the survey (mean age 56.3 years; 58.9% were female). Problem-focused strategies, “Taking care of my diabetes” and “Eating healthy,” were most frequently used and perceived as useful. Emotion-focused strategies such as “Expressing my emotions (crying or being angry)” were less used and perceived less useful. Participants with low vs. diabetes distress showed differences in strategy use.ConclusionsAdults with T1D and T2D use various coping strategies for diabetes distress, with problem-focused coping being more common and found useful than emotion-focused coping. Providing individuals with a list of effective coping strategies can enhance their awareness and adoption of new strategies. Integrating personalized coping strategies into interventions can better support diabetes management.
The walking surface influences vertical ground reaction force and centre of pressure data obtained with pressure-sensing insoles
Authors: Warmerdam Elke , Burger Lea-Marie , Mergen Diana F. , Orth Marcel , Pohlemann Tim , Ganse Bergita 
Published: November 2024

BackgroundGait can be continuously monitored via vertical ground reaction force (VGRF) and centre of pressure (COP) measurement with pressure-sensing insoles. During daily living, a variety of walking surfaces will be encountered, which could affect the collected data. These effects might need to be taken into account when analysing disease- or injury-related gait characteristics to prevent misinterpretation, especially when drawing conclusions from data obtained in clinical populations. We hypothesized characteristic changes in insole-derived VGRF and COP parameters of healthy participants when walking on different surfaces.MethodsParticipants walked on flat indoor surface, flat and inclined outdoor surfaces, as well as on forest, gravel, grass, and sand surfaces while wearing pressure-sensing insoles with 16 pressure sensors each at a recording frequency of 100 Hz. Several gait parameters were extracted from the VGRF and COP data, and were compared between surfaces using repeated measures ANOVA.ResultsThirty participants were included (22 women and 7 men, age 30 ± 12 years, height 172 ± 8 cm, weight 76 ± 23 kg). VGRF and COP data were significantly influenced by the type of surface. The rmANOVA revealed significant within-subject differences between the walking surfaces in all calculated parameters. The largest changes in the VGRF and COP patterns occurred during uphill and downhill walking. Walking on compliant surfaces led to increased gait variability. The highest variability was observed when walking on sand. The change from walking indoors to outdoors, be it on flat, inclined, forest, gravel, grass or sand surfaces, was characterized by a characteristic change in the VGRF stance-phase curve. Based on these characteristic changes, it could be possible to identify whether someone is walking on a slope, as well as on non-compliant or compliant surfaces, while it is difficult to distinguish between different types of compliant surfaces.ConclusionVGRF data are affected by the type of walking surface in healthy adults. Walking on a slope affects VGRF and COP parameters, and in addition, the compliance of the surface increases their variability. When analysing gait data measured via insoles during daily living, we recommend to correct for the surface type to decrease variability.