bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparing AVPU and Glasgow Coma Scales Among Children Seen by Emergency Medical Services
Authors: Ramgopal Sriram , Horvat Christopher M. , Cash Rebecca E. , Pelletier Jonathan H. , Martin-Gill Christian , Macy Michelle L. 
Published: July 2024

OBJECTIVES
Consciousness assessment is an important component in the prehospital care of ill or injured children. Both the Glasgow Coma Scale (GCS) and the Alert, Verbal, Pain, Unresponsive (AVPU) scale are used for this purpose. We sought to identify cut points for the GCS to correspond to the AVPU scale for pediatric emergency medical services (EMS) encounters.

METHODS
We conducted a retrospective cross-sectional analysis using the 2019–2022 National EMS Information System data set, including children (&lt;18 years) with a GCS and AVPU score. We evaluated several approaches to develop cut points for the GCS within the AVPU scale and reported measures of performance.

RESULTS
Of 6 186 663 pediatric encounters, 4 311 598 with both GCS and AVPU documentation were included (median age was 10 years [interquartile range 3–15]; 50.9% boys). Lower AVPU scores correlated with life-sustaining procedures, including those for airway management, seizure, and cardiac arrest. Optimal GCS cut points obtained via a grid-based search were 14 to 15 for alert, 11 to 13 for verbal, 7 to 10 for pain, and 3 to 6 for unresponsive. Overall accuracy was 0.95, with kappa of 0.61. Intraclass F1 statistics were lower for verbal (0.37) and pain (0.50) categories compared with alert (0.98) and unresponsive (0.78).

CONCLUSIONS
We developed a cross-walking between the AVPU and GCS scales. Overall performance was high, though performance within the verbal and pain categories was lower. These findings can be useful to enhance clinician handovers and to aid in the development of EMS-based prediction models.
PERANAN KH. ABDULLAH ZAWAWI IZHOM DALAM PENYEBARAN ISLAM DI PALEMBANG
Authors: - Padila 
Published: July 2024

AbstractIn this paper examines how the role of KH. Abdullah Zawawi Izhom in the distribution of Islam in Palembang. The study in this paper discussed the history of KH Abdullah Zawawi Izhom’s role in the distribution of Islam in Palembang, from 1930 until 2013. Many others are studying about the great scholars and well known in the public, on the other hand if in further study the role of KH. Abdullah Zawawi Izhom in accessing Islam is also quite significant, and so far there has been no research that discussed about his role in the spread of Islam in Palembang.Researchers are very important to examine how the role of KH. Abdullah Zawawi Izhom in the spread of Islam in Palembang, because there are several reasons that make this research is interesting. The first is about KH figure. Abdullah Zawawi Izhom as a local cleric who is very active in spreading Islam in Palembang and so far there is no significant discussion about him. Second, is how the history of his struggle in introducing an era in various islam. Based on the argument, the big question in this research is how the role of KH. Abdullah Zawawi Izhom in the distributing of Islam in Palembang. In order to process the data obtained from the optimal results, in this study using role theory. In this study the authors use the historical method that aims to collect, evaluate and reveal facts to enforce facts and strong evidence. The findings of this study is K. H Abdullah Zawawi Izhom, one of the important figures in the spread of Islam in the city of Palembang with various evidence, such as relics of mosques and majlis ta'lim who is still active nowadays. Then in the form of dakwah that he did, he was directed to the informal targets, such as inter-mosque da'wah, musholla, or ta'lim assembly. He also bought more Muslims to the impelementation in daily life. Then to further disseminate the science he had, he printed some students to spread around Palembang to keep in distributing Islam.
INTERPRETING DANCING AS SYMBOLS OF FREEDOM IN REMY SYLADO’S NAMAKU MATA HARI FROM ITS PROTAGONIST PERSONALITY
Authors: Saehu Andang Saehu , Azisi Noer Azisi 
Published: July 2024

This study interprets the ‘dancing’ as symbols of freedom expressed by a Dutch dancer, Mata Hari (alias Margaretha Geertruida Zelle) in Remy Sylado’s Namaku Mata Hari, a protagonist novel. The data in this study are sentences or paragraphs containing dancing as symbols of freedom. Those sentences or paragraphs were collected by conducting library research through reading carefully the novel Namaku Mata Hari, coding each part of the novel showing the dancing as a symbols of freedom and the role of her id, ego and super ego, classifying data into symbols proposed by Hayek’s (1960) and Hospers’ (1984) theories, and analysing the data simultaneously. The result shows that the dancing as freedom symbols is interpreted in a lot of expressions: dancing expressing her freedom of being life, of taking back her rights, of avoiding Western aesthetic principles, of being peaceful state of mind, of finding her desire, of gaining a deep hypnotic trance, of gaining humanity instead of being prejudice of her nationality, and of avoiding Western civilization.
Tafsir Qur'an Berbahasa Nusantara (Studi Historis terhadap Tafsir Berbahasa Sunda, Jawa dan Aceh)
Authors: Sariyati Ice , Komarudin Edi , Nurhasan Muhamamd , Solihin Ihin 
Published: July 2024

Fenomena penafsiran al-Qur’an di Nusantara telah muncul sejak abad ke-19 M, dengan menggunakan bahasa Jawa dan Bahasa Sunda. Penelitian ini membahas dan menelaah jenis tafsir al-Quran berbahasa Nusantara. Masalah pokok dalam penelitian ini adalah bagaimana terjadinya proses penerjemahan dan penafsiran al-Quran di nusantara serta bagaimana sejarah tafsir al-Qur’an berbahasa Nusantara? Penelitian ini berjenis kualitatif, penelitian kepustakaan (library research dengan menggunakan metode deskriptif. Sumber data utama ialah kitab-kitab tafsir berbahasa Sunda, Jawa, dan Melayu. Kerangka proses yang dipergunakan adalah hermeneutika pola Gadamer yang dipolarisasi menjadi: Pra‑Konsepsi, Teks (Konteks) dan Produksi Makna. Adapun hasil penelitiannya adalah: 1) Di Nusantara tafsir al-Quran didominasi oleh masayarakat “Jawa”, disebabkan faktor mendapat barokah guru, politik dan ekonomi, 2) Sejarah penulisan tafsir al-Quran berbahasa Nusantara sangat berkaitan dengan masalah sosial yang dihadapi oleh para penulis tafsir. Pristiwa dan problema sosial menyertai pola penulisan tafsir al-Quran berbahasa Nusantara.
IDEOLOGI (DAN) ESTETIKA SENO GUMIRA AJIDARMA: SAKSI MATA DALAM RUANG PERJUMPAAN IDEOLOGIS
Authors: Arifin Moch Zainul 
Published: July 2024

Tulisan ini mencoba menguraikan struktur ideologi Seno Gumira Adjidarma dalam Saksi Mata pada masa otoriter Orde Baru. Pisau analisis yang digunakan dalam penelitian ini adalah teori kritik sastra materialisme Terry Eagleton yang mengasumsikan bahwa teks sastra tidak bertindak pasif, tetapi bertindak aktif menentukan proses produksi dan struktur ideologi yang melingkupinya. Dengan demikian, kritik sastra Eagleton melihat karya sastra dari aspek eksternal dan juga aspek internalnya. Berangkat dari hal itu, bagaimana Saksi Mata menawarkan bentuk kritik yang, tentu ideologis, dihadirkan guna mengguncang kekuasaan absolut Orde Baru? Hasil penelitian menunjukkan bahwa, pertama, struktur ideologi dalam cerpen Saksi Mata meliputi prkatik material eksternal dan internal teks. Aspek eksternal teks merupakan hasil artikulasi dominasi Orde Baru. Untuk itu, Saksi Mata juga tidak luput dari pengaruh mobilisasi Soeharto, akan tetapi Seno dengan Saksi Mata mampu melawan kebijakan tersebut. Kedua, konstruksi internal teks yang sebetulnya ruang perjumpaan dan negosiasi ideologi-ideologi yang ada, Saksi Mata berupaya menunjukkan kengerian totaliter Orde Baru. Akan tetapi, tentu dalam ruang politik yang represif, kritik dalam semangat kemanusiaan, keadilan dan kebebasan berpendapat ditransfor-masi dan dibungkus dalam cerpen Saksi Mata dengan bangunan satire dan khas komedi, sekaligus mengungkapkan kengeriannya.
William Woys Weaver: Sauerkraut Yankees. Pennsylvania Dutch Foods and Foodways
Authors: Davidson Alan 
Published: July 2024

William Woys Weaver: Sauerkraut Yankees. Pennsylvania Dutch Foods and Foodways – second edition: Stackpole Books, Mechanicsburg PA, 2002: ISBN 0-8117-151-0: 216 pp., b/w illus., h/b, $19.95.
Assessing the Implementation of Islamic Studies Curriculum in North-West Nigeria: A Critical Review
Authors: Danzaria Nasir , Aliyu Dada Abdullahi 
Published: July 2024

The study is on the relevance of appropriate method in the implementation of the Islamic Studies curriculum in schools of Arabic and Islamic Studies in North-west Nigeria. It is a descriptive survey design with a population of one thousand three hundred and ninety-four (1,394) Islamic Studies teachers from the Senior Arabic and Islamic Studies schools in North-West Nigeria and with a sample of three hundred and six (306) Islamic Studies teachers. Purposive sampling technique was used in selecting the sample States for the study using multistage cluster sampling process where Katsina, Kano, Kaduna and Jigawa states due to fewer security challenges in the states compared to the remaining three States (Zamfara, Sokoto and Kebbi). The States were clustered according to zonal education offices where simple random sampling technique was used in selecting the schools and respondents from the clustered zones. The instrument used was developed by the researchers designed in four-point moderated Likert rating scale to suit the objective of the study. The study comprised of one research question and one hypothesis. The research question was answered by mean score while the hypothesis was analysed through the t-test statistics. The findings revealed that Islamic Studies teachers appropriately used suitable method in the implementation of the Islamic studies curriculum in the schools of Arabic and Islamic studies in North-West Nigeria. It is recommended that teachers in the schools of Arabic and Islamic Studies should maintain the use of learner - centred, demonstration and problem-solving approaches in the teaching and learning process because of their positive effects in teaching and learning process.
School-based Factors Contributing to Students’ Indiscipline Behavior at Public Schools
Authors: Kamara Yusufu , Burhanuddin Burhanuddin , Sunandar Asep , Kargbo Wusu 
Published: July 2024

This research investigates the School-based factors contributing to students' indiscipline behavior at public schools. The researcher uses a qualitative research approach method. Therefore, the method involves synthesizing existing literature related to this topic. The article delves into the complexity of indiscipline, identifying school-based factors which include School Leadership, and Administration, Curriculum, and Teaching Methods, Poor Teachers Students Relationship, Overcrowded Classroom, School Climate and Culture, Curriculum and Teaching Methods Limited Parental Involvement as causes that disrupt a conducive learning environment. Indiscipline encompasses actions deviating from accepted standards, leading to disorder and misconduct in various settings, especially public schools. In educational settings, it involves students disregarding rules, disruptive behavior, and violating codes of conduct. Indiscipline poses challenges to education systems and student development. The study identifies school-based factors which include crowded classrooms, lack of effective school leadership, lack of motivation, and many more as the most problematic school-based factors that influence students' indiscipline behavior at public schools. The article emphasizes the ongoing need for efforts from educational stakeholders to improve the situation.
The improvement after IPL treatment in meibomian gland dysfunction patients
Authors: Banerjee Susmita , Mane Ankita , Kulkarni Deepti , Madan Veshal 
Published: July 2024

This study aims to evaluate the improvement in meibomian gland dysfunction (MGD) patients following intense pulsed light (IPL) treatment. A prospective study was conducted with 60 patients, aged 15 to 75, at Dr. Anil Kulkarni Eye Hospital from September 2021 to March 2022. All patients had a diagnosis of MGD with a secretion quality of degree 2 or higher and exhibited symptoms of dry eye disease (DED). The evaluation included Schirmer’s test and meibography. The EYE-LIGHT device was used for IPL treatment, with severity levels assessed via the Me-check screening device. Patients' symptom responses were categorized as good, better, or no response using the OSDI-6 questionnaire. From 120 eyes showed a mean patient age of 42.46 years, with 57% being female. Improvement was noted in 50% of patients (30) reporting good results, 21.66% (13) reporting better results, and 28.33% (17) reporting no response. Significant improvements in MGD symptoms were observed, with positive changes in clinical examination and subjective scoring. IPL plays a valuable role in DED. And the software using Eye-light is fully automated and upgradeable. No adverse effects after the IPL treatment, along with significant improvement in the symptoms. Satisfactory significant improvements were found in the symptoms of MGD. The positive change in objective clinical examination findings and subjective scoring data.The results of this research indicate the importance of IPL treatment and help to relieve the symptoms of moderate to severe dry eye disease (DED).
Synthesis of Eco-Friendly Bioplastic from Banana Hump Starch and Sugarcane Bagasse Cellulose Filler with Fish Scale Chitosan
Authors: Agustina Ayu Safitri , Jumrah Elfira , Abubakar Andi Nur Fitriani 
Published: July 2024

This study aims to make environmentally friendly bioplastics. This is because the use of plastic creates a plastic waste problem which is very difficult to handle. After all, it is difficult to decompose. Excessive use of plastic will be bad for the safety of the earth in the future. One of the innovations to be developed is the synthesis of environmentally friendly bioplastics. The basic ingredients for making bioplastics come from starch, cellulose, and chitosan. The process of making bioplastics uses several formulations including A0 (control), A1, A2 and A3. The research results showed that the biodegradability test was good for the A3 formula and the water absorption test was 3.77% and water resistance was 96.2%.
Literasi Kesehatan Mental, Strategi Coping terhadap Perilaku Mencari Bantuan pada Remaja
Authors: Ali Mauna , Zakiah Ernita , Akbar Zarina , Nugroho Pramudya Ardyagarini , Khofifah Khadijah Nur , Khoiruningrum Lulu 
Published: July 2024

There are many problems that adolescents experience with mental health, but unfortunately these are foten not addressed by professionals. This is due to adolescents' lack of mental health literacy, fear of stigma, and feeling that professional help is not important. The prupose of this study is to examine the influence of mental health literacy, Coping srategies, and help-seeking behavior in adolescents. Several previous studies have examined that the relationship between mental health literacy with help-seeking behavior and Coping strategies with help-seeking behavior. The result explain that there is a relationship between mental health literacy with help-seeking behavior and Coping strategies with help seeking behavior. No research has been found that examines the role of mental health literacy and Coping strategies on help-seeking behavior in adolescents. This study used a quantitative method with a questionnaire for a data collection. The measuring instruments used were the Mental Health Knowledge Questionnaire (MHKQ) by Jung et al., (2016), the Coping Stress Scale developed by Akhtar and Helmi (2014), and the Help Seeking Behavior Scale created by Mackenzie, et al. (2004). All three measuring instruments have been adapted and pilot tested. The findings showed that mental health literacy and Coping strategies have a positive and significant effect on adolescent help-seeking behavior.

Abstrak
Banyaknya permasalahan yang dialami remaja terkait kesehatan mental, namun sayangnya hal ini sering tidak mendapatkan penanganan oleh professional. Hal ini terjadi karena kurangnya literasi kesehatan mental yang dimiliki remaja, kekhawatiran akan stigma dan perasaan bahwa bantuan professional tidak penting. Tujuan dari penelitian ini adalah melihat pengaruh literasi kesehatan mental, strategi Coping terhadap perilaku mencari bantuan pada remaja. Beberapa penelitian terdahulu telah mengkaji hubungan antara literasi kesehatan mental dengan perilaku mencari bantuan serta strategi Coping dengan perilaku mencari bantuan. Hasilnya menjelaskan bahwa terdapat hubungan antara literasi kesehatan mental dengan perilaku mencari bantuan dan strategi Coping dengan perilaku mencari bantuan. Belum ditemukan penelitian yang mengkaji peran literasi kesehatan mental dan strategi Coping terhadap perilaku mencari bantuan pada remaja. Penelitian ini menggunakan metode kuantitatif dengan kuesioner untuk pengambilan data. Alat ukur yang digunakan adalah Mental Health Knowledge Questionnaire (MHKQ) oleh Jung dkk. (2016), Coping Stress Scale yang dikembangkan oleh Akhtar dan Helmi (2014), dan Help Seeking Behavior Scale yang dibuat oleh Mackenzie, dkk. (2004). Ketiga alat ukur telah diadaptasi dan diuji coba. Temuan penelitian menunjukkan bahwa literasi kesehatan mental dan strategi Coping berpengaruh positif dan signifikan terhadap perilaku mencari bantuan pada remaja.
Butyric Acid Suppresses Adipogenesis Triggered by Intermittent Hypoxia and Hypercapnia via sAC/cAMP/PKA Pathway Modulation
Authors: Su Miao-Shang , Anya Rukkaiya Abdullahi , Zhao Yi-Min , Zhou Luan , Huang Nan , Geng Xuan , REN Xi-Kai , Xia Jing , Liu Chao-Peng 
Published: July 2024

Abstract

Purpose:
To explore whether intermittent hypoxia and hypercapnia i.e, intermittent hypoxic-hypercapnia (IHH), the main characteristics of obstructive sleep apnea (OSA), induce adipogenesis, and assess the inhibitory effect of butyric acid, (BA) on intermittent hypoxia or hypercapnia accelerated adipogenesis.
Method:
To determine the potential impact IHH on adipogenesis, cells were exposed to simultaneous transient hypoxic-hypercapnia (4% O2, 10% CO2) for 48 hours. Intracellular lipid and triglyceride accumulation of groups above was observed using an Oil Red O stain and triglyceride assay. To clarify the underlying mechanism, the expression level of the pro-adipogenic markers including peroxisome proliferator–activated receptor (PPAR)γ, CCAAT/enhancer binding protein (CEBP)α, CEBPβ and cAMP Response Element-Binding Protein (CREB) were measured. And the protein expression of soluble adenylyl cyclase (sAC) cyclic adenosine monophosphate (cAMP) and protein kinase A (PKA) was also assessed.
Results:
IHH accelerated lipid accumulation, triglyceride formation, and protein expression of PPARγ, CEBPα, CEBPβ and CREB which were inhibited by butyric acid. Additionally, butyric acid suppressed the sAC/cAMP/PKA pathway protein expression in IHH-induced adipogenesis.
Conclusions:
This study reveals that OSA-induced adipogenesis results from the synergistic effort of hypoxia and hypercapnia, also butyric acid could inhibit adipogenesis induced by hypoxic-hypercapnia via the suppression of sAC-dependent cAMP production and PKA activation.
Utility of quantitative assessment of Tc-99m-diethylenetriamine-penta-acetic acid-galactosyl human serum albumin SPECT/CT in the identification of severe liver fibrosis: its complementary diagnostic value with other liver function indices
Authors: Kozaki Yoichi , Ichikawa Yasutaka , Nakamura Satoshi , Kobayashi Tatsuhiro , Tomita Yoya , Nagata Motonori , Kuriyama Naohisa , Mizuno Shugo , Sakuma Hajime 
Published: July 2024

Abstract

Purpose
To evaluate the value of Tc-99m-diethylenetriamine-penta-acetic acid-galactosyl human serum albumin (99mTc-GSA) single photon emission computed tomography (SPECT) for assessing liver fibrosis, and to assess its complementary value to other liver function indices such as fibrosis-4 (FIB-4) index and indocyanine green (ICG) clearance test parameters (ICG-R15 and ICG-K).
Procedures:
Seventy-eight patients with chronic liver disease and hepatocellular carcinoma who underwent 99mTc-GSA scintigraphy and other liver function tests including ICG test and FIB-4 index prior to hepatectomy were studied. 99mTc-GSA imaging was performed with SPECT/CT scanner (Discovery NM/CT 670). Immediately after injection of 99mTc-GSA, dynamic imaging was performed for 20 min, followed by SPECT data acquisition for 6 min. LHL15 which is a conventional index by 99mTc-GSA planar images, and liver uptake ration (LUR) was measured from 99mTc-GSA SPECT images. From the liver resection specimens, the degree of liver fibrosis was graded according to the Ludwig scale (F0-4).
Results
Significant differences in LUR, LHL15, ICG-R15, ICG-K, platelet count and FIB-4 index were found between the F0-3 and F4 liver fibrosis patient groups (P < 0.05). Multivariate logistic regression analysis revealed that LUR and ICG-K were independent factors for identifying severe liver fibrosis (F4). Area under the curve of receiver operating curve analysis for the logistic regression model using LUR and ICG-K was 0.83. In the patient group with higher FIB-4 (≥ 3.16), the diagnostic performance of LUR for detecting severe liver fibrosis was significantly better than LHL15 (AUC: 0.83 vs. 0.75, P = 0.048). In the high FIB-4 index group, the sensitivity and specificity for identifying F4 was 88% and 85%, respectively, with LUR cutoff value of 41.2%.
Conclusions
LUR, measured by 99mTc-GSA SPECT, is a useful indicator for identifying sever liver fibrosis. Particularly in patients with high FIB-4 index (≥ 3.16), LUR can be a valuable indicator to identify severe liver fibrosis with high diagnostic accuracy.
Expression and SNP profiling of HSP70 gene associated with thermotolerance traits in Munjal Sheep
Authors: Kumar Sunil , Magotra Ankit , Kumar Narender , Bangar Yogesh C. 
Published: July 2024

Abstract

An investigation was carried out to identify the polymorphism of heat shock protein 70 (HSP70) gene and its expression profiling in Munjal sheep. Blood samples from 40 female Munjal sheep were collected for DNA extraction. After standardization of PCR for ovine HSP 70 gene, sequencing was carried out for single nucleotide polymorphism (SNP) profiling. Multiple sequence alignment was performed to screen SNP in the resource population and subsequently, A to G mutation was observed at c.459 position. Two genotypes viz., AG and AA were obtained. Association study revealed no significant association of identified genotypes with growth and thermotolerance traits. HSP70 expression analysis in different seasons was carried out using enzyme-linked immunosorbent assay (ELISA) kits. After blood collection, serum was separated for studying the gene expression and expression analysis of different groups was compared using t-test. Animals were also grouped in to two groups viz., heat stress susceptible (HSS) and heat stress tolerant (HST) based on heat tolerance coefficient (HTC) i.e. HST having HTC<2.40 and HSS with HTC>2.40. Statistical analysis revealed that expression of HSP70 gene varied markedly among the summer and winter season. Furthermore, a significant variation was observed between adults and lambs (P<0.05) and between HSS and HST sheep (P<0.05) for HSP70 gene expression. The expression of HSP70 was higher in adults in comparison to lambs in both summer and winter season. Selection of heat resistant animals is essential for better livestock performance amid challenging climatic conditions ahead and HSPs can be used as candidate markers for selecting resistant animals