bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative efficacy of trichloroacetic acid combined with silver nitrate and cryotherapy in treating plantar warts study in Military Medical Specialty Center
Authors: Mohamed Zainab , Aloukati Ziad , Al-Ghanem Rafea M. 
Published: February 2025

Background: Warts are benign growths that affect the skin and mucous membranes. Comparative studies evaluating the efficacy of trichloroacetic acid (TCA), silver nitrate, and cryotherapy for treating plantar warts reveals distinct advantages for each treatment modality. Objectives were to determine the comparative efficacy of TCA with silver nitrate and cryotherapy in treating planter warts.
Methods: It was a descriptive, descriptive analytical and cross-sectional hospital-based study conducted at MMSC. Data were analyzed by statistical package for social sciences (SPSS) version 26.
Results: Among the100 participants (82% male, 18% female). The age distribution showed that most participants were between 20-29 years (34%) and 30-39 years (33%). The duration of the disease was less than 3 months for (50%) participants, while (44%) had the disease for 3-6 months. Most participants were employed (89%), aged 20-39 years (67%), and had experienced plantar warts for less than six months (94%). Both groups achieved high rates of complete resolution (82% for TCA vs. 74% for cryotherapy), though the difference was not statistically significant. Recurrence was significantly lower in the TCA group (12%) compared to the cryotherapy group (38%). Treatment duration and side effects varied significantly between groups, with TCA showing shorter treatment durations and fewer side effects. Cryotherapy was associated with higher rates of moderate and severe side effects.
Conclusions: The study demonstrates that TCA with silver nitrate is more effective and has a better safety profile than cryotherapy for the treatment of plantar warts. These findings support the recommendation of trichloroacetic acid with silver nitrate as a first-line treatment option, particularly for patients with a high risk of recurrence or those who may be sensitive to the side effects of cryotherapy. Further research with larger sample sizes and longer follow-up periods are recommended to confirm these results and assess long-term outcomes.
Reflexões sobre a Variação Linguística Ebonics/Black English nas aulas de Língua Inglesa no Contexto Educacional Brasileiro/Reflections on linguistic variation Ebonics/Black English in English language classes in the brazilian educational context
Authors: Hebling Meira Ana Cláudia , Nascimento Larissa Souza 
Published: February 2025

A partir de uma pesquisa bibliográfica, o artigo objetiva discute a pertinência em diversidade linguística Ebonics/Black English nas aulas de Língua Inglesa no intuito de desmistificar o uso da Norma Padrão da Língua e refutar o domínio das vertentes Anglo-Saxônica e Eurocêntrica do idioma. As perspectivas teóricas da Sociolinguística juntamente com as diretrizes da BNCC e dos PCN de Língua Inglesa pleiteam uma pedagogia linguística significativa no âmbito da LE 3 . Logo, tem-se um processo de ensino e aprendizagem que resulta em discentes críticos frente aos contextos históricos e sociais dos assuntos subjugados em debate. Ao fim das discussões, observe-se como oportuno o ensino do Inglês no Brasil, tratando-o sob uma ótica que não se limita na aquisição do idioma em si, mas que estimule a reflexão das singularidades dos sujeitos em seus aspectos sócio-histórico-culturais. Com base em pesquisa bibliográfica, o artigo tem como objetivo discutir a relevância de abordar a variação linguística Ebonics/Black English nas aulas de inglês para desmistificar o uso da língua da Standard Norm e refutar a dominância dos aspectos anglo-saxônico e eurocêntrico da língua. A Sociolinguística teórica, juntamente com as diretrizes da (Brasil) e da (PCN) Língua Inglesa, convocam para uma pedagogia linguística e significativa no âmbito de um MFL 22. Portanto, há um processo de ensino e aprendizagem que resulta em alunos críticos em relação aos contextos históricos e sociais dos sujeitos subjugados em debate. Ao final das discussões, o ensino de inglês no Brasil é visto como oportuno, tratando-o sob uma perspectiva que não se limita à aquisição da língua em si, mas que estimula a reflexão sobre as singularidades dos sujeitos em seus aspectos sócio-histórico-culturais.
Listas poéticas no romance Sementes do sol de Ademar Ayres do Amaral/Poetic lists in the novel "Sementes do sol/Seeds of the sun" by Ademar Ayres do Amaral
Authors: Nascimento Tedson Rennyson , Conde Alessandra 
Published: February 2025

Este trabalho investiga a presença das listas em Sementes do sol , de Ademar Ayres do Amaral. No romance, cujo pano de fundo é a imigração japonesa para a Amazônia, receitas culinárias surgem inseridas nas narrativas que como referenciaram. A listagem dessas receitas, objetos, livros, fichas documentais etc. evidenciariam algo mais que uma lista prática, desaguaria no poético. Qual a razão das enumerações de objetos, informações documentais, referências literárias, receitas culinárias em Sementes do sol ? Que efeito de sentido pode mostrar? Este trabalho, para responder a essas questões, se ampara nos estudos de Alfredo Bosi (1996) Antoine Compagnon (1996), Arnaldo Franco Junior (2009), Fusako Tsunoda (1988), Maria Esther Maciel (2022), Samuel Benchimol (2009), Tiphaine Samoyault (2008), Umberto Eco (1985) e (2010), entre outros. Os resultados da pesquisa revelam que o romance agrega elementos históricos, auxiliando nos estudos sobre a Amazônia e sua formação, visto que resgata a memória e cultura da região. Este artigo investiga a presença de listas em Sementes do Sol, de Ademar Ayres do Amaral. No romance, cujo pano de fundo é a imigração japonesa para a Amazônia, receitas culinárias aparecem inseridas nas narrativas que as referenciam. A listagem dessas receitas, objetos, livros, arquivos documentais etc. mostraria algo mais do que uma lista prática: levaria ao poético. Qual a razão das listas de objetos, informações documentais, citações literárias e receitas culinárias em Sementes do Sol? Que efeito de sentido elas podem apresentar? Para responder a essas questões, este trabalho se apoia nos estudos de Alfredo Bosi (1996), Antoine Compagnon (1996), Arnaldo Franco Junior (2009), Fusako Tsunoda (1988), Maria Esther Maciel (2022), Samuel Benchimol (2009), Tiphaine Samoyault (2008), Umberto Eco (1985) e (2010), entre outros. Os resultados da pesquisa mostram que o romance agrega elementos históricos que auxiliam nos estudos sobre a Amazônia e sua formação, uma vez que resgata a memória e a cultura da região.
Central Metric Dimension of Rooted Product Graph
Authors: Liliek Susilowati  , Estuningsih Nenik , Widya Damayanti Tyas , Yusuf Saifuddin Muchammad , Bustomi  , Janet Osaye Fadekemi 
Published: February 2025

The Central metric dimension is a type of metric dimension on graph. Some special graphs for which the central metric dimension have been found include path graph, cycle graph, complete graph, and complete bipartite graph. The aim of this study is to determine the central metric dimension of rooted product graph. Let G be a connected graph of order n and H is a sequence of n rooted graphs H1, H2, H3, ..., Hn . The rooted product graph G and H denoted by GoH . In this paper, we determine the central metric dimension of rooted product graph which denoted by dimcen( GoH). The results obtained for GoH where H is a sequence of rooted graphs that all have the same radius and the rooted vertex is the central vertex. For H is a sequence of rooted cycle graph, the cycle with the largest radius has an impact on the central set, while the central metric dimension is affected by the central set of GoH . For H is a sequence of rooted complete graph, the central set is affected by the central set of a graph G, while the central metric dimension is affected by the central set of the graph G.
Promosi Kesehatan “Penggunaan Obat saat Puasa” di Posyandu Lansia Puskesmas Pekapuran Raya
Authors: Azzahra Diva , Lingga Herningtyas Nautika , Abdina Nisa 
Published: February 2025

Saat seseorang berpuasa pada bulan ramadhan, terjadi perubahan pola waktu makan yang dapat berpengaruh terhadap waktu penggunaan obat. Hal tersebut akan memberikan dampak pada efek terapi dari suatu obat yang dihasilkan. Diperlukan suatu pemahaman yang baik untuk mencapai efek terapi yang optimal khususnya terkait aturan dan waktu penggunaan obat selama berpuasa. Kegiatan promosi kesehatan yang dilaksanakan bertujuan untuk meningkatkan pengetahuan dan pemahaman pasien lanjut usia mengenai penggunaan obat saat bulan puasa. Kegiatan dilaksanakan dalam posyandu lansia bersama dokter, bidan, analis laboratorium, apoteker penanggung jawab, dan kader posyandu. Metode yang digunakan adalah ceramah dengan bantuan media edukasi berupa poster yang dibagikan kepada peserta. Melalui kegiatan ini, dapat diketahui bahwa sebagian masyarakat masih tidak mengetahui kapan waktu yang tepat untuk mengonsumsi obat pada saat berpuasa, sehingga terkadang obat tidak dikonsumsi dan pengobatan menjadi dilewatkan. Promosi kesehatan memberikan dampak peningkatan pengetahuan pada masyarakat khususnya lansia tentang penggunaan obat saat puasa. Diharapkan dengan meningkatnya pengetahuan, maka pengobatan yang dijalani saat puasa menjadi lebih maksimal. Kata Kunci:Edukasi, Lansia, Pengetahuan, Poster, Puasa Changes in meal patterns can affect drug use during the month of Ramadan when someone is fasting. This will impact the therapeutic effect of a drug produced. A good understanding is needed to achieve optimal therapeutic effects, especially regarding the rules and time of drug use during fasting. The health promotion activities aimed to increase the knowledge and understanding of elderly patients regarding the use of drugs during the fasting month. The activities were carried out in the elderly posyandu with doctors, midwives, laboratory analysts, pharmacists in charge, and posyandu cadres. The method used was a lecture with poster media. Through this activity, it can be seen that some people still do not know when the right time to take medicine while fasting is, so sometimes the medicine is not consumed and treatment is missed. Health promotion has an impact on increasing knowledge in the community, especially older people, about the use of drugs during fasting. It is hoped that with increased knowledge, the treatment carried out during fasting will be more optimal.
Promosi Kesehatan Tentang Kolesterol Kepada Masyarakat di Kegiatan Posyandu Puskesmas Sungai Ulin Banjarbaru
Authors: Mulia Mulia , Maryani Henny , Sari Okta Mutia , Mahdi Nur , Hadi Samsul , Setiawan Deni 
Published: February 2025

Salah satu penyebab gangguan kardiovaskular disebabkan oleh tingginya kadar kolesterol dalam jangka waktu lama. Masyarakat seing salah dalam memahami kolesterol, gejala kolesterol dan pengobatannya. Kegiatan ini bertujuan untuk meningkatkan pemahaman tentang kolesterol pada kegiatan posyandu di wilayah kerja Puskesmas Sungai Ulin Banjarbaru. promosi kesehatan ini dilakukan dengan cara memberikan edukasi langsung kepada masyarakat dengan bantuan leaflet dan banner. Leaflet yang dibuat memuat informasi terkait definisi kolesterol, gejala, penyebab, pantangan dan rekomendasi makanan serta golongan obat. Evaluasi promosi kesehatan menggunakan metode pretest dan posttest secara tertulis. Kegiatan promosi kesehatan ini dilakukan pada hari Sabtu, 15 Juni 2024 di Posyandu Nor Hidayah dan dilakukan sekitar pukul 09.00-11.00 WITA. Hasil evaluasi pretest dan posttest pada 18 peserta menunjukkan penilaian rata-rata dari 43,28 menjadi 100. Kegiatan promosi kesehatan ini berhasil meningkatkan pemahaman dan pengetahuan masyarakat yang mengikuti posyandu berdasarkan hasil evaluasi kegiatan. Kegiatan ini diharapkan mampu menambah wawasan peserta dalam memahami profil lipid sehingga mampu mengatur pola makan dan penanganan gangguan kolesterol. Kata Kunci: Kolesterol, Lipid, Posyandu, Leaflet One of the causes of cardiovascular disorders is high cholesterol levels over a long period of time. People often misunderstand cholesterol, cholesterol symptoms, and its treatment. This activity aims to enhance the understanding of cholesterol through integrated health post-activities in the Sungai Ulin Banjarbaru Health Center work area. This health promotion is carried out by providing direct education to the community with the help of leaflets and banners. The leaflets provide information on cholesterol definition, symptoms, causes, prohibitions, and recommendations for food and drug groups. The evaluation of health promotion uses written pretest and posttest methods. The Nor Hidayah Integrated Health Post hosted this health promotion activity on Saturday, June 15, 2024, from 09.00 to 11.00 WITA. The results of the pretest and posttest evaluations on 18 participants showed an average score of 43.28 to 100. This health promotion activity has succeeded in increasing the understanding and knowledge of the community who attended the posyandu based on the results of the activity evaluation. This activity is expected to be able to increase participants' insight in understanding lipid profiles so that they are able to regulate diet and handle cholesterol disorders.
A Process Study on 3D Printing of Polymethyl Methacrylate Microfluidic Chips for Chemical Engineering
Authors: Hu Zengliang , Li Minghai , Jia Xiaohui 
Published: February 2025

Microfluidic technology is an emerging interdisciplinary field that use micropipes to handle or manipulate tiny fluids in chemistry, fluid physics, microelectronics, new materials and biomedical engineering. As one of the rapid prototyping methods, three-dimensional (3D) printing technique with rapid and cost-effective and integrated molding characteristics has became one of the important manufacturing technologies of microfluidic chip. Polymethyl-methacrylate (PMMA), as an exceptional thermoplastic material, has found widespread application in the field of microfluidics. This paper presented a comprehensive process research on the fabrication of fused deposition modeling (FDM) 3D printing PMMA microfluidic chips (chips), encompassing finite element numerical analysis studies, orthogonal process parameter optimization experiments, and the application of 3D printing integrated microfluidic reactors in the reaction between copper ions and ammonia water. In the work, the thermal stress finite element model shown the printing platform temperature was a significant printing parameters to prevent warping and delamination in the 3D printing process. And a single printing molding technique was employed to fabricate microfluidic chips with square cross-sectional dimensions reduced to 200 μm, and the microchannels exhibited no clogging or leakage. The orthogonal experiment method of 3D printing PMMA microchannels was carried out, and the optimized printing parameters resulted in a reduction of the microchannel profile to Ra 1.077μm. Finally, a set of chemical reaction experiments of copper ions and ammonia water were performed in a 3D printed microreactor. And color datum graph of copper hydroxide were obtained. This works provided a cheap and high-quality research method for the future research in water quality detection and chemical engineering.
Intrapartum Transperineal Ultrasound Parameters as Predictive Biomarkers for Delivery Mode and Labor Duration in Primiparas: A Prospective Cohort Study
Authors: Fang Lijun , Song Haijing , Li Jinlu , Wang Xiaodi , Hu Huihui 
Published: February 2025

Objective: This study evaluates the utility of intrapartum transperineal ultrasound parameters—angle of progression (AOP), head-perineum distance (HPD), and midline angle (MLA)—as predictors of delivery mode and labor duration in primiparas. Methods: A prospective cohort of 144 primiparas (gestational age: 38–40 weeks) undergoing trial of labor was stratified into vaginal delivery (n = 108) and cesarean section (n = 36) groups. Transperineal ultrasound assessed fetal orientation, cervical metrics, AOP, HPD, and MLA during the first stage of labor. Statistical analyses included receiver operating characteristic (ROC) curves for delivery mode prediction, linear regression and Pearson correlations for labor duration. Results: Vaginal deliveries exhibited significantly higher AOP (136.59° ± 10.24° vs 116.24° ± 6.53°), lower HPD (21.06 ± 3.21 cm vs 24.39 ± 2.14 cm), lower and MLA (11.31° ± 1.33° vs 15.26° ± 2.45°) compared to cesarean deliveries. ROC analysis demonstrated strong predictive efficacy of delivery mode for combined parameters (AUC = 0.884). AOP and MLA negatively correlated with labor duration (r = −0.737, −0.761; p &amp;lt; 0.001), while HPD showed a positive correlation (r = 0.644, p &amp;lt; 0.001). Conclusion: AOP, HPD, and MLA are robust biomarkers for predicting delivery mode and labor progression. Integrating these parameters into clinical practice may enhance decision-making, reduce unnecessary interventions, and improve maternal-neonatal outcomes.
Changes in Contraceptive Services During Utah’s Family Planning Elevated Contraceptive Access Initiative: A Prospective Assessment of Intervention and Control Sites
Authors: Simmons Rebecca G. , Gero Alexandra , Carter Gentry , Sanders Jessica N. , Quade Caitlin , Baayd Jami , Mullholand Madeline , Elliott Sarah , Myers Kyl , Torres Erica , Smith Justin D. , Turok David K. 
Published: February 2025

Objectives. To assess contraceptive service changes during the Family Planning Elevated (FPE) Contraceptive Access Program in Utah clinics from 2018 to 2023. Methods. We assessed de-identified electronic health record data on female clients aged 18 to 50 years from intervention and matched control sites. We used comparative interrupted time series analyses comparing total number of contraceptive services and their proportion relative to visits between intervention and control sites before, during, and after FPE. Results. Intervention sites provided on average 1.76 (95% confidence interval [CI] = 1.17, 2.66) times as many contraceptive services per month as controls during the 24-month intervention period, with no significant decreases in services noted in the postintervention period. The proportions of total visits related to family planning decreased by a factor of 0.70 (95% CI = 0.52, 0.94) during the intervention period. However, this effect was mitigated at intervention sites where proportions of contraceptive services were 1.44 (95% CI = 0.97, 2.14) times greater than control sites and did not significantly decrease after the intervention. Conclusions. Contraceptive access initiatives have capacity to make meaningful change in communities where they are employed, even after they end. ( Am J Public Health. 2025;115(3):387–396. https://doi.org/10.2105/AJPH.2024.307917 )
Predictors of Persistent COVID-19 Vaccine Refusal Among Previously Infected Patients in Nebraska
Authors: Bai He (Julia) , Brett-Major David , Du Yi , Paritala Sai , Peters Edward S. , Ratnapradipa Kendra L. , Maloney Patrick 
Published: February 2025

Objectives. To identify factors associated with persistent COVID-19 vaccine refusal among Nebraska residents 6 months after an initial COVID-19 diagnosis. Methods. Using case investigation surveillance data and vaccination records from the Nebraska Department of Health and Human Services, a cohort of 16 344 unvaccinated, COVID-19‒confirmed individuals (May 2021‒February 2023) were asked for their reason for nonvaccination (RNV), then followed for 6 months to assess subsequent vaccination status. We used a modified Poisson regression to estimate risk of unvaccinated status at follow-up against predictors, including RNV, demographic characteristics, adherence to mitigation measures, hospitalization, and rurality. Results. Compared with those whose RNV was missed opportunity/lack of convenience, individuals who cited religious exemption (adjusted incidence risk ratio [AIRR = 1.36; 95% confidence interval [CI] = 1.31, 1.41), philosophical objection (AIRR = 1.28; 95% CI = 1.24, 1.34), or institutional confidence/complacency concerns (AIRR = 1.26; 95% CI = 1.19, 1.33) showed greatest risk of nonvaccination. Older age, nonadherence to mitigation measures, and higher rurality are positively associated with nonvaccination. Minority status and hospitalization were correlated with vaccination. Conclusions. Ideology-centered objections held significant weight among previously infected individuals who displayed sustained reluctance toward COVID-19 vaccination. Distinguishing sources of misinformation among ideologically similar communities could instigate reconsideration for vaccination. ( Am J Public Health. 2025;115(3):414–424. https://doi.org/10.2105/AJPH.2024.307921 )
Osteotomies of the Knee for Valgus Malalignment
Authors: Bertha Nicholas , Manfre Miranda G. , Chin Garwin , Peszek Adam , Batiste Alexis J. , Maak Travis G. , Frank Rachel M. 
Published: February 2025

» Osteotomy is an effective treatment strategy for young, active patients with symptomatic valgus malalignment of the knee that has been unresponsive to conservative management.» Osteotomies are also indicated to support joint preservation procedures, such as lateral meniscus allograft transplantation and/or cartilage restoration to the lateral compartment, in the valgus malaligned patient, even if the malalignment is subtle.» Techniques to correct valgus include lateral opening wedge distal femoral osteotomy (LOWDFO), medial closing wedge distal femoral osteotomy (MCWDFO), lateral opening wedge high tibial osteotomy (LOWHTO), or medial closing wedge high tibial osteotomy (MCWHTO). The specific technique chosen depends on surgeon preference, concomitant procedures, and deformity location (femoral, tibial, or both).» Each approach comes with its own advantages and disadvantages. LOWDFO offers easier correction for larger deformities but has a higher risk of nonunion, while MCWDFO facilitates faster time to union but is more technically demanding. For those with a tibial-based deformity, LOWHTO carries a higher risk of nonunion, MCWHTO may lead to medial collateral ligament laxity or patella baja, and both may cause alterations of the tibial slope and may be limited as an isolated procedure in severe deformity correction.» Irrespective of the surgical approach, the outcomes of these procedures are generally favorable, improving patient-reported outcomes and potentially delaying the need for total knee arthroplasty. However, it is crucial to carefully select the appropriate procedure based on the patient's anatomy and the specificities of their valgus deformity to ensure the best possible results.