bluuebunny/crossref_metadata_2025_split huggingface dataset:
Beslenme desteğine yeni başlanan hastaları nazogastrik sondayla taburcu etmek uygun bir yaklaşım mı?
Authors: BOSTAN Feyzi , ÇEKİN Ayhan Hilmi , ÇALIŞKAN Ali Rıza , UYAR Seyit , AKBAY HARMANDAR Ferda 
Published: September 2019

Giriş
ve Amaç: Başta geriatri, nöroloji ve onkoloji hasta
gruplarında olmak üzere çeşitli nedenlerle oral yoldan beslenemeyen hastalar,
nazogastrik sonda, perkütan endoskopik gastrostomi ve perkütan endoskopik
jejunostomi gibi yapay yollarla enteral yoldan beslenmektedirler. Genel
uygulama, hastaların nazogastrik sondayla beslenmeye başlanıp, daha sonra kalıcı
beslenme yolları olan perkütan endoskopik gastrostomi veya jejunostomiye
değiştirilmesi şeklindedir. Kalıcı beslenme yollarına geçilmesi zamanlaması
konusunda kılavuzlar olmasına rağmen, bu konuda kafa karışıklığı vardır. Biz bu
çalışmamızda 6 aylık zaman dilimi içerisinde nazogastrik sonda ile beslenmeye
başlanarak taburcu edilen 61 hastayı beslenme yolu değişiklikleri açısından
değerlendirmeyi amaçladık. Gereç ve Yöntem:
Antalya Eğitim ve Araştırma Hastanesinde Haziran 2015-Aralık 2015 zaman
dilimi içerisinde iç hastalıkları kliniği, tıbbi onkoloji kliniği, nöroloji
kliniklerinde yatan, altta yatan hastalıkları nedeniyle oral yoldan
beslenemeyen ve nütrisyon ekibi tarafından nazogastrik sonda ile beslenmeye
başlanıp, nazogastrik tüp ile taburcu edilen 61 hasta ardışık sırayla çalışmaya
dahil edildi. Bulgular: Çalışmaya
aldığımız hastaların 35’i (%57.4) erkek, 25’i (%42.6) kadındı. Çalışma zaman
dilimi sonunda 20 (%41.6) hasta exitus
oldu. 12 (19.7) hastaya perkütan endoskopik gastrostomi açıldı. 16 (%26.2)
hasta nazogastrik sondadan ayrılarak oral yoldan beslenmeye başladı. 13 (%21.3)
hasta nazogastrik sondayla beslenmeye devam ediyordu. Hastalarda nazogastrik sonda
kalış süresi ortalama 34.93±40.98 gün, medyan 30.0 gün (min: 2 gün, max: 180 gün,
aralık: 178 gün) olarak saptandı. Sonuç:
Takip edilen 61 hastanın sadece 12 (19.7%) tanesine perkütan endoskopik
gastrostomi açılmış olması, bunun yanında hastaların 16’sının (26.2%) oral
yoldan beslenmeye geçmiş olması hastaların nazogastrik sondayla taburcu edilip
beslenme yolu değişikliklerine takipte karar verilmesinin doğru bir yaklaşım
olduğu kanatine varmamıza neden oldu.
Impact of an empowerment program on young mothers in Ba Province, Fiji
Authors: Toll Lauren , Baseisei Mosese , Daivalu Diakisi , Naidu Swaran 
Published: September 2019

Background: Disempowerment is both a cause and effect of unplanned pregnancies in young girls and women. An “Empowerment of Disadvantaged Young Mothers” program was implemented between January 2017 and March 2018 in western Viti Levu, Fiji, to improve young mothers’ knowledge of reproductive health, chance of employment, self-reliance and agency.
Aim: To evaluate the outcomes of the “Empowerment of Disadvantaged Young Mothers” program implemented by the Viseisei Sai Health Centre, Lautoka, Fiji.
Methods: This is a mixed method retrospective study using quantitative and qualitative data from project records.
Findings: There were 89 participants in the program who resided across 22 communities. Almost 75% reported not using a contraceptive as the reason for their unplanned pregnancy. Analysis of pre- and post-program assessment found increases in the number of mothers employed (5.6% vs 27.3%; p=<0.001), registered with National Employment Centre (14.7% vs 47%; p=0.002) and accessing a Pap smear (27.3% vs 60.6%; p=0.003). A third of the participants described feeling “motivated”, “empowered”, “inspired” or “increased confidence” to achieve their original career or educational goals as a result of attending the training. Most reported that the workshops had changed their perspective and given them new hope for their future, with a “reduced sense of isolation” in finding a support network.
Conclusion: This empowerment project made substantial increases in the rates of employment and uptake of reproductive health and support services amongst the young mothers, as well as an overall decrease in sense of isolation and improvement in social wellbeing. They felt more “empowered” and “motivated” to make positive changes in their lives to enhance their financial independence and improve quality of life for themselves and their children.
THE PORTRAIT OF CHARACTER BUILDING IN ‘TWILIGHT’ FILM SCRIPT THROUGH ETHICAL VALUES
Authors: Hairi Sohibul 
Published: September 2019

Literature is a social phenomenon that is associated with writers, readers, and related aspects of human life that is expressed in a literary work. In this view, when someone attempts to analyze drama script to comprehend more about the drama, to conduct a discourse analysis on drama plays a significant role in the success of the analysis. Script or screenplay is one of literary work. There is 18 character education in Indonesia according to Panduan Pendidikan Karakter, Kemendikas 2010. They are: Religious, Honest, Disciplined, Hard Working, Creative, Independent, Democratic, Curious, Nationalistic, Patriotic, Sportive and respectful, Inclusive and Communicative, Peace-loving, Studios, Caring and Compassion, Empathetic, Responsible. This study is aimed at two primary purposes: (1) to investigate the moral values in ‘Twilight’ film script, (2) to investigate the moral values to build someone's character. This study was carried out the script of Twilight film written by Melissa Rosenberg. To achieve two objectives, the data were analyzed by collecting and reviewing the document. After moral values have been collected, they are analyzed and categorized the moral values that could be implemented to build a student's character. The result of the research is that there are some moral values in Twilight film script that could be implemented to build student's character, they are (1) Honest, (2) Independent, (3) Curios, (4) Patriotic, (5) inclusive and Communicative, (6) peace-loving, (7) Empathetic and (8) Responsible. Those eight characters are a good character that could be implemented to build the students' character. Suggestion proposed based on the result analysis toward moral value in Twilight film script should be used as one of the references. In education, especially for teachers, it is imperative to build the students character
Induced Lactation for Adoptive Breastfeeding Dyads
Authors: Praborini Asti , Febriyanti Dyah , Subekti Ria 
Published: September 2019

IntroductionBreastfeeding has many benefits for both mother and baby, but not all mothers can have their own babies. Here we used an induced lactation protocol to breastfeed adopted babies.Materials and MethodWe implement and describe an induced lactation protocol for adoptive breastfeeding dyads at Kemang Medical Care (KMC) Women and Children Hospital and Permata Depok Hospital, Greater Jakarta, Indonesia. Participants included 32 of 48 breastfeeding dyads or subjects undergoing induced lactation protocols and fulfilling the inclusion criteria. The induced lactation protocol included the Praborini Method (hospitalization for nipple confusion) to promote latching, pharmacologically induced lactation, and at-breast supplementation.ResultsNineteen babies (59.4%) were aged <1 month and nine (28.1%) were aged 1–3 months at protocol initiation. Almost all (31 babies, 96.8%) were adopted after birth. At first examination, 20 babies (62.5%) could not latch, but all dyads could breastfeed after hospitalization for <1–2 days. Breast milk was induced after one cycle of Yasmin in 24 cases (75%). All mothers took domperidone and no side-effects were reported. Average breastfeeding duration was 8.5 months, with weaning at 2–25 months of age, with working mothers weaning at ≤4 months. At-breast supplementation was used until weaning.ConclusionsAdopted babies can achieve long-term breastfeeding through this multimodal protocol. Further prospective studies are warranted.
Nipple Shield Use: Families' Stories
Authors: Robertson Barbara D. 
Published: September 2019

BackgroundMost IBCLCs interact with nipple shields in their work whether families bring nipple shields they are already using into consultations or professionals are suggesting the mothers use this lactation tool. Are nipple shields being used too much or too little? What is working and what is not?MethodsThe results of two online surveys on nipple shield use are presented: one for families and one for professionals.ResultsWith over 4,600 responses from families and 600 responses from professionals, this new information helps reveal what is actually happening with families and the use of this common tool.ConclusionsFor some families, nipple shields saved their breastfeeding experiences. Other families had negative experiences, especially when they were misapplied or given without follow-up. IBCLCs need standard protocols for nipple shield use. Providing support and guidance for nipple shield use greatly increases a family's odds of having a successful experience, and IBCLCs are the perfect people to provide this.
Penggunaan Peta Konsep Sebagai Instrumen Penilaian Terhadap Pemahaman Konseptual Peserta Didik Melalui Model Pembelajaran PDEODE Pada Materi Asam Basa
Authors: Chandra Annisa , Suhartono Suhartono , Fitriani Ella 
Published: September 2019

Penelitian ini bertujuan untuk mengetahui penggunaan peta konsep sebagai instrumen penilaian terhadap pemahaman konseptual peserta didik melalui model pembelajaran PDEODE pada materi asam basa. Penelitian ini menggunakan metode kualitatif, yang dilakukan di SMAN Jakarta pada semester dua. Subjek pada penelitian ini yaitu peserta didik kelas XI MIPA di salah satu SMA Negeri Jakarta yang melibatkan 36 peserta didik. Perlakuan yang diberikan berbasis Predict-Discuss-Explain-Observe-Discuss-Explain (PDEODE). Data diperoleh dari penilaian peta konsep, observasi, dan wawancara. Penilaian peta konsep pada penelitian ini menggunakan rubrik penilaian Novak dan Gowin yang ditambahkan konsep. Hasil penelitian menunjukkan peta konsep dapat digunakan sebagai instrumen penilaian pemahaman konseptual peserta didik. Model pembelajaran PDEODE berdampak terhadap proses peserta didik dalam memahami konsep asam basa. Pemahaman konseptual peserta didik tergolong dalam kategori sedang dan rendah. Melalui peta konsep dapat diidentifikasi miskonsepsi yang dialami oleh peserta didik terutama pada teori asam basa.
Kata kunci
Peta Konsep, Pemahaman Konseptual, PDEODE, Asam Basa, Penilaian
Pengaruh Strategi “REACT” Terhadap Literasi Kimia Peserta Didik Kelas X MIA Pada Pembelajaran Reaksi Redoks
Authors: Hadinugrahaningsih Tritiyatma , Rosita  , Kurniadewi Fera 
Published: September 2019

Penelitian ini bertujuan untuk mengetahui pengaruh strategi REACT terhadap literasi kimia peserta didik kelas X MIA pada pembelajaran reaksi redoks. Penelitian dilakukan pada semester genap tahun ajaran 2018/2019 di salah satu SMA di Jakarta. Metode penelitian yang digunakan adalah Quasi Exsperiment dengan desain penelitian Posttest Only Control Group Design. Sampel yang digunakan dalam penelitian diperoleh melalui teknik purposive sampling, kelas X MIA 2 ditetapkan sebagai kelas eksperimen dengan menerapkan strategi REACT dan kelas X MIA 1 sebagai kelas kontrol yang menerapkan strategi pembelajaran active. Data yang diambil berupa nilai pretest dan posttest menggunakan instrumen literasi kimia. Hasil penelitian menunjukkan bahwa rata-rata nilai posttest literasi kimia kelas eksperimen (67,324) lebih besar daripada kelas kontrol (54,030). Berdasarkan perhitungan uji t diperoleh nilai thitung (3,8274) dan ttabel (1,668) pada taraf signifikansi 5%. Oleh karena nilai thitung > ttabel, maka H0 ditolak dan H1 diterima, oleh karena itu dapat disimpulkan bahwa penggunaan strategi REACT berpengaruh positif terhadap literasi kimia peserta didik pada materi reaksi redoks.
Kata kunci
Literasi kimia, reaksi redoks, strategi REACT
Identifikasi Miskonsepsi Siswa pada Konsep Ikatan Kimia Menggunakan Tes Four-Tier Multiple-Choice (4TMC)
Authors: Islami Dini , Suryaningsih Siti , Bahriah Evi Sapinatul 
Published: September 2019

Ikatan Kimia merupakan salah satu materi kimia dengan konsep yang abstrak, dan diakui sulit dipahami serta sering kali menimbulkan miskonsepsi pada siswa. Penelitian ini bertujuan untuk mengidentifikasi miskonsepsi siswa pada konsep Ikatan Kimia. Metode yang digunakan dalam penelitian adalah deskriptif kuantitatif. Penelitian dilaksanakan pada 31 Januari sampai dengan 6 Februari 2018. Subjek penelitian ini adalah siswa kelas X tahun ajaran 2017/2018 dengan jumlah sampel sebanyak 48 siswa. Identifikasi miskonsepsi dilakukan menggunakan instrumen tes berbentuk four-tier multiple-choice (4TMC). Jawaban siswa dari tes 4TMC tersebut kemudian dianalisis dan dikategorikan berdasarkan tingkatan pemahaman siswa. Hasil menunjukkan bahwa terjadi miskonsepsi sebesar 30,31% (kategori rendah). Miskonsepsi signifikan teridentifikasi pada 8 dari 13 subkonsep Ikatan Kimia yaitu subkonsep Struktur Lewis dan Kaidah Oktet (33,33%), Ikatan Logam dan Sifat Logam (20,83%), Senyawa Ionik dan Senyawa Kovalen (27,08%), Teori VSEPR (20,83%), Teori Domain Elektron (18,75%), Kepolaran Molekul (27,08%), Gaya van der Waals (14,58%), dan Ikatan Hidrogen (29,17%). Hasil identifikasi miskonsepsi siswa ini diharapkan dapat membantu dalam menangani miskonsepsi pada siswa lebih awal agar tidak menghambat siswa dalam pembelajaran.
Kata kunci
Miskonsepsi, Ikatan Kimia, Four-Tier Multiple-Choice Test
Analisis Pemahaman Konsep Siswa pada Pembelajaran Larutan Elektrolit dan Non-Elektrolit dengan 8E Learning Cycle
Authors: Fitriyani Dewi , Rahmawati Yuli , Yusmaniar Yusmaniar 
Published: September 2019

Penelitian ini bertujuan untuk mengembangkan pemahaman konsep siswa pada materi larutan elektrolit dan non-elektrolit menggunakan model pembelajaran 8E Learning Cycle. Subjek penelitian adalah 36 siswa kelas X MIA. Teknik pengumpulan data dilakukan dengan wawancara, tes pemahaman konsep, observasi, reflektif jurnal dan lembar kerja siswa. Berdasarkan penelitian, siswa selama mengikuti model pembelajaran 8E learning cycle mengalami pengembangan pemahaman konsep pada sub-materi karakteristik larutan dan sifat larutan. Berdasarkan grafik, pemahaman konsep siswa meningkat sampai 96% di sub-materi karakteristik larutan dan di sub-materi sifat larutan pemahaman siswa meningkat sampai 80%. Miskonsepsi terbesar terjadi pada tahap explore, karena siswa masih menggunakan pengetahuan awalnya. Siswa dapat mengelompokkan dengan benar larutan elektrolit dan non-elektrolit berdasarkan daya ionisasi larutan, namun siswa masih belum bisa menghubungkan larutan elektrolit dan non-elektrolit dengan jenis ikatannya. Model pembelajaran 8E learning cycle, selain berperan dalam mengembangkan pemahaman konsep siswa, model ini juga berperan mengembangkan keterampilan komunikasi dan berkolaborasi dalam pembelajaran kimia.
Kata kunci
Model pembelajaran 8E learning cycle, pemahaman konsep, larutan elektrolit dan non elektrolit
Effect of GOR on Gas Diffusivity in Reservoir-Fluid Systems
Authors: Ratnakar Ram R. , Dindoruk Birol 
Published: September 2019

Summary
Molecular diffusion plays a dominant role in various reservoir processes, especially in the absence of convective mixing. In general, gas diffusion in oils depends on several factors such as pressure, temperature, oil viscosity, and gas/oil ratio (GOR). Out of these factors, the effects of GOR and live-oil-compositional changes on diffusivity are rare or not available in the literature. The current work fills this gap and presents the experimental observations on the effect of GOR on gas diffusivity in reservoir-fluid systems.
Synthetic live oils were created by combining stock-tank oil (STO) and methane in various ratios. Constant-composition-expansion (CCE) experiments were performed with these oils to obtain their bubblepoints and liquid densities in relation to GOR. Methane diffusivity in these oils was obtained from pressure-decay (PD) tests at high-pressure/high-temperature (HP/HT) conditions. The diffusion and solubility parameters were estimated from PD data using the diffusion model and integral-based linear regression presented in previous work (Ratnakar and Dindoruk 2015, 2018). The experimental and modeling methodologies are presented here in sufficient detail to allow readers to replicate and evaluate the results.
In this work, we experimentally investigated the effect of GOR on methane diffusivity in oils at HP/HT conditions using PD tests. In particular,
We present experimental data for bubblepoints and liquid density of synthetic oils with various GOR values. For the range of GORs considered, these measurements show that the bubblepoint pressure increases linearly with GOR. Late-transient solution (LTS) of the PD model was used to obtain diffusivity parameters by regressing against experimental data. It is found that as the GOR value increases (that is, when oil becomes lighter), the diffusivity value increases, which is in accordance with the Stokes-Einstein relation. Most importantly, an empirical correlation is developed on the basis of a limited data set to describe the variation in diffusivity values with GOR. This can be important when experimental data are available for the STO but not for the live oils. It can also be extremely useful in gas-injection processes where the amount of gas dissolved in the oil varies, leading to variations in diffusivity.
Risk factors associated with Hepatitis B virus infection among pregnant women attending antenatal clinic at Felegehiwot referral hospital, Northwest Ethiopia, 2018: An institution based cross sectional study
Authors: Gedefaw Getnet , Waltengus Fikadu , Akililu Almaz , Gelaye Kihinetu 
Published: September 2019

Abstract
Objective

This study aimed to determine the magnitude of serum HBsAg and the risk factors for Hepatitis B virus infection among pregnant women in Bahir Dar. An institution based cross sectional study was implemented from February 1 to May 1, 2018 among 338 pregnant women attending antenatal care clinic at Felegehiwot referral hospital, Bahir Dar, 2018. Systematic random sampling technique was implemented. Blood sample was taken from 338 study participants and serum was tested for Hepatitis B surface antigen (HBsAg) using Enzyme Linked ImmunoSorbent Assay.Results

The overall prevalence of hepatitis B virus infection among pregnant women were 16(4.7%) (95% CI= 2.7, 7.7). Having a history of blood transfusion (AOR=5.2; 95% CI=1.2-22.3), having a history of multiple sexual partners (AOR=4.6; 95% CI=1.1-19.6) and having a history tonsillectomy (traditional surgical procedure) AOR=3.4; 95% CI=1.1-10.1) were the significant risk factors for Hepatitis B virus infection.
Elevated expression of AGGF1 predicts poor prognosis and promotes the metastasis of colorectal cancer
Authors: Zhang Xin , Sun Huimin , Chen Wanyuan , He Xianglei 
Published: September 2019

Abstract
Abstract
Background: Angiogenic factor with G-patch and FHA domains 1 (AGGF1) can promote angiogenesis and increasing evidence has highlighted the important roles of AGGF1 in tumorigenesis. However, the expression patterns as well as the biological functions of AGGF1 in colorectal cancer (CRC) remain to be established. The purpose of the present study is therefore to identify the effect of AGGF1 on prognosis and metastasis in CRC patients.
Methods: The expression level of AGGF1 in CRC was examined by qPCR, western blot and immunohistochemistry in a tissue microarray containing 101 CRC specimens. And the effect of AGGF1 on CRC cell malignance was investigated in our established stable AGGF1 upregulated and knockdown CRC cell lines.
Results: The expression level of AGGF1 in CRC tissue was not significantly different to that in adjacent normal mucosa at the mRNA level. However, at the protein level, AGGF1 expression in CRC tissues was significantly higher than in paired normal mucosa, which showed a clear association with TNM stage, AJCC stage, vascular invasion, and differentiation. Further, we revealed an apparent correlation between AGGF1 expression and poorer disease-free survival and overall survival of CRC patients. In addition, we discovered that AGGF1 significantly promoted CRC cell wound healing, migration, and invasion in vitro and distant metastasis in vivo .
Conclusions: Our study demonstrates the aberrant expression of AGGF1 in CRC and provides a basis on which to explore the application of AGGF1 as a novel prognostic biomarker for CRC patients, especially for CRC patients with distant metastasis.
MiR-376a inhibits non-small cell lung cancer cell progression by regulating Rab1A
Authors: Cao Zheng-Hao , Cheng Jing-Liang , Zheng Xian-Zhao , Lv Qing-Qing , Ma Jin-Xin , Zhang Yong 
Published: September 2019

Abstract
Post transcriptional gene regulation of microRNA-376a (miR-376a) plays a crucial role for tumorigenesis and cancer development. However, the potential role of miR-367a in non-small cell lung cancer (NSCLC) remains unclear. In this study, we investigated the crucial role of miR-376a in NSCLC by analyzing miR-376a expression as well as its target genes. Through overexpression strategies, we uncovered the molecular mechanisms underlying miR-376a-mediated tumorigenesis. Quantitative real-time PCR analysis demonstrated miR-376a levels to be significantly decreased in NSCLC cells compared with non-tumorigenic counterparts. Interestingly, miR-376a overexpression potentially repressed NSCLC cell proliferation, migration, and invasion, but increased apoptosis in A549 cells. Using bioinformatic approaches, we predicted that miR-376a targets Rab1A, and further luciferase fusion assay demonstrated Rab1A was a direct target of miR-376a and miR-376a inhibited cell proliferation by regulating the mRNA and protein levels of Rab1A in NSCLC cells. Overall, our findings uncover the miR-376a could suppress NSCLC cells progression via directly targeting Rab1A.