bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hubungan Tingkat Stres Akademik Dengan Kualitas Tidur Pada Mahasiswa Tingkat III Di Institut Teknologi Dan Kesehatan Bali
Authors: Septianingsih Ni Luh Rika , Negara IGN Made Kusuma , Wulansari Nadya Treesna 
Published: October 2024

Status kesehatan remaja menjadi sorotan penting dan perhatian dunia dikarenakan 10-20% mengalami masalah kualitas tidur. Penyebabnya karena kelompok mahasiswa merupakan kelompok dengan aktivitas yang cukup padat. Tujuan: Mengetahui hubungan tingkat stres akademik dengan kualitas pada mahasiswa tingkat III di Institut Teknologi dan Kesehatan Bali. Metode: Jenis penelitian ini adalah analitik korelasi dengan pendekatan cross-sectional. Sampel pada penelitian ini mahasiswa tingkat III di Institut Teknologi dan Kesehatan Bali sebanyak 237. Teknik total sampling. Pengumpulan data menggunakan kuesioner melalui google form. Analisa data menggunakan Spearman Rho. Hasil: Tingkat stres akademik mahasiswa mayoritas dalam kategori sedang sebanyak 155 responden (65,4%). Kualitas tidur pada mahasiswa mayoritas berada pada kategori cukup sebanyak 190 responden (80,2%). Hasil uji Spearman Rho menunjukkan bahwa ada hubungan tingkat stres akademik dengan kualitas tidur pada mahasiswa tingkat III di Institut Teknologi dan Kesehatan Bali (p <0,05 : r = 0,481). Kesimpulan: Adanya hubungan antara tingkat stres akademik dengan kualitas tidur pada mahasiswa tingkat III di Institut Teknologi dan Kesehatan Bali.

Kata Kunci: Stres Akademik, Kualitas Tidur
Hubungan Pengetahuan Suami Dengan Partisipasi Suami Dalam Perawatan Kehamilan Di Puskesmas Kota Malang
Authors: Pranatalia Yulianto Nova , Sutiyarsih Emy , Ati Maria Prieska Putri Panglipur , Sulartri Anastasia Sri 
Published: October 2024

Suami merupakan pengambil keputusan utama terhadap kesehatan istrinya. Kesiapan suami dengan pengetahuan yang baik tentang perawatan kehamilan merupakan aspek penting dalam perawatan kehamilan. Dampak dari kurangnya dukungan suami adalah kekhawatiran ibu sehingga tidak mampu beradaptasi dengan permasalahan kehamilannya. Studi ini dimaksudkan untuk menentukan hubungan antara keterlibatan suami dalam perawatan prenatal di Puskesmas Kota Malang dengan pemahamannya tentang perawatan prenatal. Studi ini dirancang dengan menggunakan metodologi kuantitatif cross-sectional. Populasi studi ini ialah suami istri yang istrinya baru pertama kali hamil. Pengambilan sampel dilakukan secara purposive sampling untuk memilih 56 responden sebagai sampel. Temuan studi ini menunjukkan 46,4% responden memiliki pengetahuan cukup dan 78,6% responden berpartisipasi tinggi dalam perawatan kehamilan. Uji analisis dengan memanfaatkan uji Korelasi Spearman didapatkan nilai p-value 0,001 dengan korelasi 0,429 menunjukkan adanya hubungan pengetahuan suami melibatkan keterlibatan suami dalam perawatan kehamilan. Seorang suami yang tahu cara merawat wanita hamil dapat meningkatkan partisipasinya dalam membantu istri untuk menjaga kehamilannya. Diharapkan bagi puskesmas untuk terus meningkatkan pemberian edukasi tentang perawatan kehamilan.

Kata Kunci: pengetahuan, partisipasi, perawatan kehamilan, suami
Task Activities to Enhance Reading Aloud in English in Students From 8th Grade, San Pablo, Heredia
Authors: Avalos Charpentier Karla , Chavarría Oviedo Francisco 
Published: October 2024

This research focuses on eight grade students from the Mario Vindas high school, a public high from the Ministry of Education in Costa Rica. The research will explore some task-based activities for students that enhance the reading aloud participation in the English class and therefore, the development of the reading skill. Also, the research discusses the reasons behind the lack of interest in students when participating in reading aloud activities.
An Unidentified Fermi Source Emitting Radio Bursts in the Galactic Bulge
Authors: Anna-Thomas Reshma , Burke-Spolaor Sarah , Law Casey J. , Schinzel F. K. , Aggarwal Kshitij , Bower Geoffrey C. , Connor Liam , Demorest Paul B. 
Published: October 2024

Abstract
We report on the detection of radio bursts from the Galactic bulge using the real-time transient detection and localization system, realfast. The pulses were detected commensally on the Karl G. Jansky Very Large Array during a survey of unidentified Fermi γ-ray sources. The bursts were localized to subarcsecond precision using realfast fast-sampled imaging. Follow-up observations with the Green Bank Telescope detected additional bursts from the same source. The bursts do not exhibit periodicity in a search up to periods of 480 s, assuming a duty cycle of <20%. The pulses are nearly 100% linearly polarized, show circular polarization up to 12%, and exhibit variable scattering on timescales of months. The arcsecond-level realfast localization links the source confidently with the Fermi γ-ray source and places it nearby (though not coincident with) an XMM-Newton X-ray source. Based on the source’s overall properties, we discuss various options for the nature of this object and propose that it could be a young pulsar, a magnetar, or a binary pulsar system.
Hybrid-Vlasov Modelling of Ion Velocity Distribution Functions Associated with the Kelvin–Helmholtz Instability with a Density and Temperature Asymmetry
Authors: Tarvus Vertti , Turc Lucile , Zhou Hongyang , Nakamura Takuma , Settino Adriana , Blasl Kevin , Cozzani Giulia , Ganse Urs , Pfau-Kempf Yann , Alho Markku , Battarbee Markus , Bussov Maarja , Dubart Maxime , Gordeev Evgeniy , Tesema Kebede Fasil , Papadakis Konstantinos , Suni Jonas , Zaitsev Ivan , Palmroth Minna 
Published: October 2024

Abstract
The Kelvin–Helmholtz instability (KHI), characterized by vortices forming at a perturbed velocity shear layer, is a prominent candidate mechanism for mass, momentum, and energy transport across boundaries with velocity shear in various space plasma environments. It is of particular interest at the flanks of Earth’s magnetopause, which separates the plasma of the magnetosphere from the adjacent shocked solar wind flow in the magnetosheath. In the present study, we use local hybrid-Vlasov simulations to investigate the ion velocity distribution functions (VDFs) associated with KHI in a magnetopause-like, transverse velocity shear layer setting (magnetic field perpendicular to the shear plane). We look for signatures of ion finite Larmor radius (FLR) effects, which could be utilized in spacecraft measurements to recognize when such effects are active, influencing KHI evolution and driving plasma mixing. We show that when a density/temperature asymmetry exists across the shear layer, FLR effects produce a heat flux along the vortex edges. With a magnitude (≳0.1 mW m−2) that is a significant fraction of the total magnetosheath energy flux, the heat flux provides a distinct signature that could be measured with a single spacecraft. During the late nonlinear stage of KHI, mixed non-Maxwellian ion VDFs are additionally found within the vortices. Our results are also valid in the presence of a small magnetic shear across the magnetopause.
The Lower Limit of Dynamical Black Hole Masses Detectable in Virgo Compact Stellar Systems Using the JWST/NIRSpec IFU
Authors: Tahmasebzadeh Behzad , Lapeer Andrew , Vasiliev Eugene , Valluri Monica , Taylor Matthew A. , Thompson Solveig 
Published: October 2024

Abstract
Due to observational challenges, the mass function of black holes (BH) at lower masses is poorly constrained in the local universe. Understanding the occupation fraction of BHs in low-mass galaxies is crucial for constraining the origins of supermassive BH seeds. Compact stellar systems (CSSs), including ultracompact dwarf galaxies (UCDs) and compact elliptical galaxies (cEs), are potential intermediate-mass BH hosts. Despite the difficulties posed by their limited spheres of influence, stellar dynamical modeling has been effective in estimating central BH masses in CSSs. Some CSSs may harbor a BH constituting up to 20% of their host stellar mass, while others might not have a central BH. In support of our ongoing efforts to determine the BH masses in select CSSs in the Virgo cluster using JWST/NIRSpec IFU observations and orbit-superposition dynamical models, we create mock kinematic data mimicking the characteristics of observed cEs/UCDs in the Virgo cluster with different BH masses. We then construct a series of dynamical models using the orbit-superposition code FORSTAND and explore the accuracy of recovering the BH mass. We find that the mass of BHs comprising 1% or more of the total host stellar mass can be accurately determined through kinematic maps featuring higher-order velocity moments. We also assess how BH mass measurement is affected by deprojection methods, regularization factors, anisotropy parameters, orbit initial conditions, the absence of higher-order velocity moments, the spatial resolution, and the signal-to-noise ratio.
A baseline audit of post-vasectomy follow-up at three Cape Town district health facilities
Authors: Le Roux Michael L. , Christoffels Renaldo , Kroukamp Roland , Morgan Jennie , Alaofin Omotayo S. , Ras Tasleem , Von Pressentin Klaus B. 
Published: October 2024

Background: Our study focuses on vasectomies, an underutilised contraception method worldwide. Little is known about post-vasectomy semen analysis (PVSA) adherence in our setting, which is an essential step in confirming the procedure’s success. We aimed to describe patient adherence to post-vasectomy follow-up and the success of procedures performed by different surgeon categories at three Cape Town district health facilities.Methods: We conducted a retrospective descriptive audit. We extracted sociodemographic and procedural information from theatre records and patient folders. The PVSA results were retrieved from Groote Schuur Hospital’s Reproductive Medicine Unit.Results: The records of 270 patients who underwent vasectomies in local district-level facilities from September 2016 to July 2021 were included. Only 122 (45.2%) semen analysis results were retrievable, of which 115 (94.2%) showed that the procedure was successful. Incomplete patient records significantly impacted the study. A data-collection instrument and implementing standardised stationery were developed, which some sites already use. These measures are designed to ensure more comprehensive datasets for future audits.Conclusion: The study’s findings have identified flaws in record-keeping practices at the three study sites, a crucial step towards improving post-vasectomy care. Tracking procedural success and patient adherence to post-vasectomy semen analyses using the implemented stationery may assist future research and help drive quality improvement projects.Contribution: This audit strengthens our understanding of improving this underutilised family planning option in the district health services. In partnership with the local teams, a revised clinical care pathway was developed to inform the delivery of an evidence-informed vasectomy service.
Intraoperative Innovation Leading to a Modified Endotracheal Tube: A Case Report of Endobronchial Intubation of Total Laryngectomy Stoma
Authors: Tersakyan Sarven , Gemelga Gio , Lee Joseph , Mahyar Babak , Dean Alan 
Published: October 2024

ABSTRACT
The post-total laryngectomy airway poses perioperative challenges to anesthesia management. While endobronchial intubation is a cited complication, a low-lying stoma may increase this risk. Furthermore, the stoma’s proximity to a median sternotomy increases surgical and airway management complexity. This report highlights a case of endobronchial intubation in a patient with a low-lying stoma who presented for coronary artery bypass graft. With a stoma at the upper border of the sternum, intraoperative innovation was required to prevent endobronchial intubation while remaining out of the surgical field. This innovation may be useful in urgent surgical situations.
Local antituberculosis treatment in nonhealing chronic surgical site tuberculosis: A novel approach to cure nonhealing wound!
Authors: Patil Shital , Patil Deepak , Khule Shubhangi , Gondhali Gajanan 
Published: October 2024

Abstract
Tuberculosis most commonly affects the lungs and less than 20% of cases showed extrapulmonary involvement. Tuberculosis at the surgical site is described in the medical literature with very few cases of cesarean section at the incision site. Nonhealing surgical site ulcers secondary to tuberculosis are not widely reported in the literature and treatment options to heal these lesions are not described. Surgical site infections resulting to a slow or nonhealing wound are commonly reported and usually depend on various factors. Patient factors include the patient’s immune status and comorbidities. Hospital management factors such as infection control policies in operation theatre, sterilization techniques for surgical instruments, and local wound care methods established and implemented by hospital staff. In this case report, a 34-year-old female with history of cesarean delivery 1 month back presented with nonhealing wound at the surgical site. We have done surgical repair with biopsy of wound margins. Wound discharge microscopy was negative for acid fast bacilli with few gram-positive cocci. Cartridge based nucleic acid amplification testes were positive for Mycobacterium tuberculosis genome. Histopathology shown tuberculous pathology and underlying chronic infectious process for nonhealing wound. We have offered antituberculosis treatment (ATT) as per protocol and observed healing of tuberculous ulcer after three months with reappearance of ulcer in fourth month of ATT. We have topically applied isoniazid and streptomycin over tuberculous ulcer along with systemic ATT. Tuberculous ulcer has responded and noted “cure” as completely healed surgical wound after 6 months of ATT with topical application of isoniazid and streptomycin.
Management of Persistent Diplopia and Epiphora in Mismanaged Orbital Blowout Fracture – A Case Report
Authors: Balaji S. M. , Balaji Preetha 
Published: October 2024

Abstract
A 31-year-old male with a history of right zygomaticomaxillary complex (ZMC) fracture presented with aesthetic concerns, continuous tearing, and double vision. The patient had undergone multiple surgeries post accident, resulting in an asymmetrical cheek bulge, persistent diplopia, and epiphora. Investigations revealed abnormal placement of an orbital mesh and damage to the lacrimal sac. A surgical plan was devised to remove the plates, reposition the muscles, secure the floor, correct the epiphora, and provide the desired aesthetics. The surgery involved removal of the mesh and a long plate, refracturing of the zygoma, approximation and securing of the fractured zygoma with plates, and creation of an osteum on the lateral wall of the nose. Post-operatively, the patient’s healing was uneventful and he was satisfied with the outcome. This case underscores the importance of a proper surgical technique and patient-centered care in managing complex facial fractures.
Utility of Umbilical Arterial Blood Gas Lactate Levels in Predicting Short-term Neonatal Morbidity: A Retrospective Audit in a Tertiary Neonatal Unit
Authors: Pravin R. R. , Raveentheran Gayatiri , Sultana Rehena , Haium Abdul Alim Abdul 
Published: October 2024

Background:
Umbilical cord arterial lactate is a surrogate marker for fetal hypoxia. A poor cord lactate often portends poorer neurological outcomes. Currently, there is no universally accepted threshold for normal cord lactate.

Methodology:
A retrospective case–control study of 1978 neonates born in a tertiary women’s and children’s hospital with a neonatal intensive care unit was conducted from July 1, 2022, to December 31, 2022. The primary outcome was evaluating the utility of arterial lactate to predict neonatal outcomes. Secondary outcomes included comparing institution guidelines with that of the American College of Obstetricians and Gynecology (ACOG) to determine cutoff thresholds for arterial pH, base excess (BE), and lactate to aid in risk stratification.

Results:
Cord blood arterial lactate was not a statistically significant predictor of poor neonatal outcomes (odds ratio [OR]: 1.09, [95% confidence interval (CI): 0.84–1.41], P = 0.5320). Babies who are delivered by crash cesarean section (OR: 3.96, [95% CI: 1.11–14.23], P = 0.0343), needed urgent resuscitation at birth (OR: 4.79, [95% CI: 1.63–14.06], P = 0.0044), with poor 1-min Apgar score (OR: 0.62, [95% CI: 0.49–0.78], P < 0.0001) or 5-min Apgar score (OR: 0.12, [95% CI: 0.04–0.37], P = 0.0002), higher venous BE (OR: 0.77, [95% CI: 0.65–0.92], P = 0.0034), or higher venous lactate (OR: 1.43, [95% CI: 1.12–1.82], P = 0.0043) had poorer outcomes. An arterial pH < 7.024, an arterial BE ≥−11.6 mmol/L, and an arterial lactate ≥8.4 mmol/L were deemed optimal cutoffs to predict a poorer neonatal outcome. Both ACOG and our institutional guidelines shared a similar predictive ability to identify neonates with poor cord gases at risk of poor outcomes.

Conclusion:
Although umbilical cord arterial lactate was not a statistically significant predictor of short-term neonatal morbidity, its clinical utility in predicting poor outcomes alongside maternal, fetal risk factors, and other biochemical indices on the cord blood gas, should not be undervalued.
Comparative evaluation of anxiety level, comfort, and time taken using digital and conventional impression techniques among pediatric population aged 8–12 years: A cross-over randomized controlled study
Authors: Tharani Megha P. , Dave Bhavna H. , Bargale Seema S. , Deshpande Anshula N. , Koodakandi Poonacha S. , Kariya Prateek B. 
Published: October 2024

ABSTRACT

Background:
A strong gag reflex could make it difficult for patients to accept and get dental care. Orthodontic models are needed for the diagnosis and treatment planning of occlusion and space management. Digital impressions can help to eliminate certain disadvantages, especially in children.

Aim:
To compare the anxiety, comfort, and time required to record digital and alginate impressions in children (8–12 years).

Materials and Methods:
A sample size of 30 was estimated and allocated into two groups. Group A: Alginate impressions were recorded on day 1. Group B: The digital impressions were recorded on day 1. Dave’s Hand Gesture Scale was given to measure the anxiety. After 7 days, the impressions of Group A were recorded using digital technique, whereas alginate impressions were recorded of children under Group B. The intraoral and overall time was recorded for both the impression techniques. Finally, a questionnaire was given to all the children to evaluate their comfort and preferences.

Results:
The data were analyzed with SPSS software version 20.0 and used Chi-square analysis and Student’s t-tests where a significance value <0.05 was considered. The intraoral and overall time was less in digital impressions, and anxiety and comfort were found more in alginate impressions than digital impressions.

Conclusion:
Digital impressions were recorded faster than alginate. When the anxiety was assessed, the digital impressions were considered to be more comfortable than the alginate methods.
The link between oral health status and psychological well-being among young adults
Authors: Prabhu D. Prasanna 
Published: October 2024

ABSTRACT

Background:
To live a healthy, happy, and fulfilling life, oral health is vital. The one who has a healthy oral cavity can engage with people, eat, and interact without feeling uncomfortable or ashamed. Oral illness has a subtle but significant effect on people’s daily lives, affecting social and professional duties.

Aim:
The purpose of the study is to investigate how young individuals’ psychological well-being is impacted by their oral health.

Materials and Methods:
Psychological Well-being Questionnaire by Goldberg (1972), Oral Hygiene-Simplified Index (OHI-S) by John C. Greene and Jack R. Vermillion (1964), Psychosocial Impact of Dental Aesthetics Questionnaire by Klages et
al., (2005), and Decay, Missing, and Filled Teeth (DMFT) Index by the World Health Organization (1987) were the instruments utilized for this study. Eighty-four working young adults in and around Chennai made up the study’s entire sample, and a purposive sampling technique was used; oral health-care therapies were provided, increasing the degree of oral hygiene status, decreasing the amount of decay, and replacing missing teeth with filled teeth. After that, secondary data gathering was completed. The Pearson correlation, independent sample t-test, and paired t-test were used as the statistical analysis methods for this investigation to confirm the hypotheses.

Results and Conclusion:
According to the study’s findings, maintaining good oral health helps working young adults feel psychologically well and can change their lifestyles to improve workplace well-being.
Assessment of oral health status and treatment needs among visually impaired children in Vadodara city: An observational study
Authors: Shah Charmi , Bargale Seema , Dave Bhavna , Deshpande Anshula N , Poonacha K. S. , Kariya Pratik B 
Published: October 2024

ABSTRACT

Background:
Maintaining optimal oral health is crucial for all children, but it holds particular significance for visually impaired children (VIC). Neglecting oral health can lead to a myriad of issues such as dental caries, gum disease, traumatic dental injuries (TDI), and even systemic health problems. Therefore, tailored interventions are essential to ensure their well-being and life quality.

Aim:
The current research aimed to assess the oral health status and treatment needs among VIC.

Materials and Methods:
The cross-sectional survey was conducted on 300 VIC in Vadodara city between September 2022 and December 2022. The oral examination was done in the respected school in the daylight with a normal sitting chair. Oral health status was checked according to the World Health Organization criteria (2013). Malocclusion was checked according to Angle’s classification of malocclusion. Descriptive statistical analysis was used.

Results:
The prevalence of dental caries was found to be 65%. 70% of children showed periodontal condition. TDIs among VICs were 40%. There is a high prevalence (91%) of Class I malocclusion. Most of the children require prompt treatment.

Conclusion:
The study reveals alarming dental health issues among VIC in Vadodara. With 65% experiencing dental caries, 70% displaying periodontal conditions, and 40% suffering from TDI, the oral health challenges are significant. Furthermore, a striking 91% exhibit Class I malocclusion. These findings underscore an urgent need for comprehensive dental care and tailored interventions to address the substantial oral health disparities in this vulnerable population. Immediate attention and specialized treatment plans are crucial to improving their overall well-being and quality of life.