bluuebunny/crossref_metadata_2025_split huggingface dataset:
USE OF ANTIBIOTICS AND THE FARMERS' AWARENESS LEVEL OF ANTIBIOTICS RESISTANCE OF BROILER FARMS
Authors: USMAN M , KHAN GA , KHAN F , JAVED M , ALI H , AHMAD M 
Published: May 2024

The ever-existent measures of antibiotic application in the broiler industry remain a controversial tool for improving livestock health and accelerating growth. The main objective of the study is to find the use of antibiotics and the farmers' awareness level of antibiotic resistance in broiler farms. This study is designed to investigate antibiotic usage practices and assess the awareness levels of broiler farmers regarding antibiotic resistance. A total of 280 participants from various broiler farms across the region were recruited from February 2023 to August 2023. Eligible participants included farm owners, managers, and workers directly involved in broiler farming activities. Data were collected from 280 participants through a designed survey. The study revealed a predominance of medium-sized farms, housing between 5,000 to 20,000 broilers, accounting for 60% of participants, followed by large farms with over 20,000 broilers at 25%. Basic biosecurity protocols were the most commonly implemented management practice among participants, reported by 50% of respondents, while 35% reported moderate implementation, and 15% reported advanced biosecurity measures. Tetracycline emerged as the most commonly used antibiotic (45%), often administered orally (60%) for disease prevention (40%). Enrofloxacin (30%) and Amoxicillin (25%) were also prevalent, with oral administration being the preferred route. Despite the predominance of seeking veterinary advice (70%), a notable proportion reported self-medication (20%) or seeking advice from fellow farmers (10%). It is concluded that antibiotic usage remains prevalent in commercial poultry farming, with tetracyclines, fluoroquinolones, and beta-lactams being commonly employed. While seeking veterinary advice predominates, there's a need to address gaps in access to veterinary services and promote responsible antibiotic stewardship among farmers.
CLINICAL FEATURES OF DIABETIC KETO ACIDOSIS INDIVIDUALS IN THE INTENSIVE CARE UNIT
Authors: BUKHARI SZ , PERVAIZ R , JAVED M , ATTA MB , RAZA S , ADEEL . , ASGHAR A 
Published: May 2024

Background: Diabetic ketoacidosis (DKA) is the most common acute hyperglycemic condition related to diabetes. Recent investigations suggest that DKA affects approximately 8 out of every 1,000 diabetics annually. Objective: This study aims to determine the clinical features of individuals with severe DKA admitted to ICU. Study Design: A retrospective analysis. Setting: The study was conducted at Bahria International Hospital Lahore and Services Institute of Medical Sciences Lahore, Pakistan. Duration of Study: The study period was from Oct 01, 2022, to March 30, 2023. Methods: Data from patients' health records were retrospectively analysed, including demographics, clinical manifestations (fever, nausea, vomiting, abdominal pain, breathlessness, altered sensorium, low blood pressure), and triggering factors (insulin discontinuation, septicemia). Hospital stay duration, mortality rate, and usage of mechanical ventilation were also documented. Results: A total of 30 patients were enrolled in the study, of whom 26 (86.6%) were males. The most prevalent complaint was abdominal discomfort, observed in 86.6% of the study population. Vomiting was present in 93.3% of the individuals. Only 8 (26.6%) patients were newly diagnosed with diabetes, while the remainder were known type 1 diabetics on insulin treatment. The mean HbA1c was 10.2%, ranging from 8.7% to 12.6%. Serum blood glucose, bicarbonate levels, and anion gap were independently associated with clinical indicators of severe DKA. A correlation was found between DKA indicators and the requirement for mechanical ventilation. Conclusion: The majority of individuals with severe DKA admitted to our ICU experienced gastrointestinal symptoms, with noncompliance to insulin treatment being the primary cause of DKA.
Healthcare misinformation: Recognition and response in pre-licensure nursing education
Authors: Enslein Terri W. 
Published: May 2024

Background and objective: The amount of medical misinformation accessible to the public presents challenges for the healthcare community. Nursing graduates require knowledge, skills, and attitudes to enter practice prepared to recognize and respond to misinformation. The aim of the study was to assess the student nurse’s ability to recognize and respond to misinformation in the media.Methods: A total of 14 prelicensure students were recruited for a qualitative study involving watching/listening to birth-related media containing misinformation. Ability to recognize and respond to misinformation was evaluated using reflective journals guided by Tanner’s Clinical Judgment Model.Results: Evidence of components of clinical judgment were noted: noticing in 14/14; interpreting in 11/14; and responding in 8/14 journals. Further analysis yielded themes: media/social media misinformation can impact care that people seek; students recognize nursing responsibility to respond to misinformation; while most are able to recognize misinformation, many do not know how to respond.Conclusions: Students recognized misinformation, but the degree to which they were prepared to respond to it is unclear. Further study is needed to determine the ability of prelicensure students to respond to misinformation and to determine if programs should evaluate for incorporation of misinformation into curricula.
Exodoncia como alternativa terapéutica en molares con Hipomineralización severa. Seguimiento longitudinal de un caso.
Authors: Gamez Saint Pasteur Adriana , Acosta Ramses , Salazar Oliangel , Medina Díaz Aída Carolina 
Published: May 2024

La Hipomineralización Molar Incisivo (HMI) presenta una prevalencia entre 2,9% y 44%. El dolor y la hipersensibilidad dentaria son el principal motivo de consulta de los pacientes afectados, y es por ello que un diagnóstico oportuno y una intervención eficaz brinda mejoras notables en la calidad de vida del paciente. Presentación de caso: Se trata de paciente masculino de 8 años de edad quien acude al Servicio de Odontopediatría y Ortodoncia del Centro Médico Docente la Trinidad por presentar dolor e hipersensibilidad. En la evaluación clínica y radiográfica se observa destrucción de gran parte de esmalte y dentina en los primeros molares permanentes superiores e inferiores, con restauraciones atípicas presentes, siendo el diagnóstico de HMI severa con pulpitis irreversible. También se diagnostica maloclusión Clase II División 1 con mordida profunda. Se realiza, bajo sedación endovenosa, extracción de los primeros molares permanentes, logrando la mesialización de los segundos molares permantes con el cierre de espacio completo y correcta inclinación, evidenciando una óptima evolución. Una vez emergidos los segundos molares permanentes, inicia tratamiento de Ortodoncia con mecánica Clase II. Conclusión: El caso del paciente reportado presentó hipomineralización severa de los primeros molares permanentes, siendo tratado con extracciones de los molares permanentes afectados en el momento oportuno. En el seguimiento a 5 años se observó mesialización exitosa de los segundos molares permanentes.
SCANNER CARDIAQUE PEDIATRIQUE DANS LE DIAGNOSTIC DES CARDIOPATHIES CONGENITALES: EXPERIENCE ABIDJANAISE
Authors: NCHO MOTTOH Marie-Paule Berdanette  , GARBA Idrissa  , N’GORAN Yves  , ANGORAN Ines  , AVOH Ami  , DOH Cédric  , ALLEKE Samuel Koffi  , COULIBALY Ali  
Published: May 2024

Depuis 2008, la Haute Autorité Sanitaire recommande la réalisation du scanner cardiaque dans le diagnostic des cardiopathies congénitales. Celui-ci aide à confirmer et préciser les anomalies mal définies à l’échocardiographie. Dans les pays développés, le scanner cardiaque est un examen de routine pour le diagnostic des cardiopathies congénitales. En Côte-d’Ivoire, sa pratique est récente.
L’objectif de cette étude était de décrire les techniques et résultats des scanners cardiaques pédiatriques réalisés dans une structure privée à Abidjan.
Il s’agissait d’une étude descriptive rétrospective sur une période de 2 mois qui a inclus tous les enfants reçus à la clinique la rosette pour la réalisation d’un scanner cardiaque indiqué pour l’évaluation d’une cardiopathie congénitale. Les examens ont été réalisés sous sédation légère pour les enfants de moins de 7 ans.
Vingt scanners cardiaques pédiatriques ont été réalisés. Les indications des scanners cardiaques pédiatriques étaient la tétralogie de Fallot (15 cas), l’atrésie pulmonaire à septum ouvert (APSO) (2 cas), la communication interauriculaire (CIA) (1 cas), la CIA associée à une communication interventriculaire (CIV) (1 cas) et la sténose pulmonaire supravalvulaire (1 cas). Dans les cas de Tétralogie de Fallot et d’APSO, les branches pulmonaires et les collatérales aorto-pulmonaires ont été visualisées et mesurées. Pour le bilan de la CIA, un retour veineux pulmonaire non visualisé à l’échocardiographie a été retrouvé au scanner cardiaque. Dans tous les cas, un bilan tomodensitométrique malformatif était réalisé : recherche d’anomalies coronaires et d’arcs aortiques.
Après réalisation du scanner cardiaque, 5 enfants ont bénéficié d’une cure chirurgicale. On notait une concordance entre les diagnostics per-opératoires et tomodensitométriques.
Dans notre expérience, le scanner cardiaque représente désormais un outil diagnostique complémentaire important, fiable, peu invasif, pour l’évaluation des cardiopathies congénitales.
Apport de l’IRM multimodale dans la prise en charge des tumeurs encéphaliques chez l’adulte à Abidjan
Authors: BATCHAM Ahoubougabé Wilson Blake  , KABAS Raissa-Michelle  , KONAN Anhum Nicaise  , DIABATÉ Aboubakar Sidiki  
Published: May 2024

Dans le monde, le nombre de nouveaux cas de tumeurs encéphaliques était de 14 millions en 2014 avec environ 8 millions de personnes décédées.
Objectif : déterminer l’efficacité diagnostique de l’IRM multimodale dans la prise en charge des tumeurs encéphaliques dans notre contexte.
Matériels et Méthodes : Etude rétrospective à visée descriptive, multicentrique sur une période de 2 ans allant de février 2017 à mars 2019, dans 3 services de radiologie et 2 services de Neurochirurgie, en Abidjan (notre capitale économique). Nous nous sommes intéressés à tous les patients ayant réalisé une IRM multimodale pour suspicion d’un processus tumoral encéphalique, et qui ont eu une exérèse chirurgicale suivie d’un examen anatomopathologique de la pièce opératoire. Les examens d’IRM multimodale encéphaliques ont été réalisés selon un protocole standard sur des appareils de 1,5 Tesla, et lus par des radiologues séniors puis juniors. Nous avons confronté les résultats anatomopathologiques aux diagnostics posés à l’imagerie IRM multimodale.
Résultats : Ont été retenu 18 dossiers. On notait une prédominance masculine avec un sex ratio de 1,58. L’âge moyen était de 42,8 ans avec des extrêmes de 20ans et 61ans. L’efficacité diagnostique de l’IRM multimodale a été de 100% pour le lymphome cérébral primitif et l’adénome hypophysaire. Dans les cas de tumeurs gliales, de méningiomes et de métastases, la sensibilité de l’IRM multimodale a été respectivement de 57%, 89% et 80%.
Conclusion : L’IRM multimodale permettait sans erreur, de faire le diagnostic de lymphome cérébral primitif et des adénomes hypophysaires. Et en raison du polymorphisme en imagerie des méningiomes, des métastases et des tumeurs gliales, leur diagnostic à l’IRM était souvent manqué. Une meilleure formation des radiologues sur l’utilisation adéquate des différentes séquences devrait améliorer leur performance diagnostique.
Iatrogénie au produit de contraste iodé chez un septuagénaire : une responsabilité partagée
Authors: ACKO Ubrich  , ACKO-OHUI Estelle  , KOUASSI Lauret  , BAMBA Aïchata  , KPATA Mauriane  
Published: May 2024

Contexte/justification : l’utilisation croissante de produit de contraste iodé (PCI), en imagerie, expose à des risques iatrogéniques. Chez les personnes vulnérables ( nourrisson et personne âgée), ces risques non négligeables, sont peu rapportés et lorsque l’iatrogénie arrive, les responsabilités ne sont pas toujours situées.
Objectif : rapporter une observation d’iatrogénie chez un septuagénaire suite à l’injection de PCI et situer les responsabilités.
Patient et méthode : il s’agissait d’un sujet âgé de 71 ans, admis aux urgences médicales du Centre Hospitalier et Universitaire (CHU) d’Angré pour suspicion d’un accident vasculaire cérébral (AVC). Dans le cadre de l’exploration, il a été réalisé, chez le patient une tomodensitométrie sans et avec une injection de PCI, 12 heures après ses premiers signes.
Résultats : onze jours après la réalisation de la TDM, le patient avait développé une nécrose de la main au site d’injection. Le pronostic de cette évolution iatrogénique inattendue et involontaire au PCI a été sévère. L’enquête étiologique avait mis en évidence un intérêt non justifié de cette injection, une absence de communication entre personnel soignant et un manque de surveillance. Le principal facteur étiologique de cette iatrogénie était une cascade d’erreurs imputables aux différentes étapes médicales allant de la prescription à la surveillance clinique de ce PCI.
Conclusion : le personnel médical soignant peut limiter leur responsabilité dans la survenue de l’iatrogénie en s’attenant aux recommandations.
Variations in Guided Imagery and Music: Taking a Closer Look (Bryan Muller)
Authors: Lawes Martin 
Published: May 2024

This is a review of the book "Variations in Guided Imagery and Music: Taking a Closer Look" authored by Bryan Muller.
Title: Variations in Guided Imagery and Music: Taking a Closer Look | Author: Bryan Muller | Publication year: 2014 | Publisher: Barcelona Publishers | Pages: 112 | ISBN: 978-1937440534
Introduction: Forging Silver Connections
Authors: Hills Helen 
Published: May 2024

Abstract
The introduction sets the scene for the volume and introduces the papers. It briefly sketches the state of scholarship in silver across the various fields – mining and extractive expertise, Indigenous knowledge and labour, colonialism and exploitative practices, early modern silver currency and trade, materiality and artisanal knowledge, alchemy and telluric philosophy. It highlights the current divergence of these fields and discuss some of the reasons for this. It draws attention to the new configurations opened at this juncture by this particular constellation of essays. It draws attention to specific aspects of each chapter in order to alert readers both to what is most novel and significant in its own field, but also to emphasize the themes and ideas that leap across geographies, chronologies and academic disciplines. It emphasizes the ways in which the chapters presented criss-cross through currents that are presently divergent and emphasizes the fruitfulness of bringing them together.
Flowing Silver and Ephemeral Cities: Working the Ruins of Colonial Silver Mines
Authors: Bolton Maggie 
Published: May 2024

Abstract
This chapter addresses present-day understandings among Indigenous miners in Bolivia of silver and silver mining under Spanish colonialism. It is based on ethnographic fieldwork in Sud Lípez province, the site of a silver boom in the seventeenth century. While colonial silver mining was exploitative of Indigenous labour, present-day miners regard this period as having been a time of plenty, when silver was pure and flowed freely as a liquid. Using Karen Barad’s notion of agential realism and Marisol de la Cadena’s insights into the inseparability of humans and non-humans in Andean ayllus, the chapter argues that silver is always entangled with those who mine it, but the inherent relationship binding one to the other is not always the same. A local myth offers insights into a transformation in the relationship between miners and metal following a catastrophic event that brought colonial mining to a close and has left present-day miners unable to work the mines profitably.
Silver, the Lunar Metal
Authors: Bucklow Spike 
Published: May 2024

Abstract
This chapter considers silver in medieval and early modern terms, acknowledging alchemy, astrology and the connection between heavenly bodies and terrestrial metals. It notes analogies between the Moon’s noble yet variable nature and the noble yet variable nature of silver. It examines theoretical and practical issues surrounding the occurrence, extraction and refining of silver, noting its intimate relationship with lead and highlighting the phenomenon of rust. It outlines the connection between silver’s extraction and lead’s rust as well as outlining the cause of silver’s rust, tarnish. It also considers strategies for addressing tarnish, the visual depiction of the Moon (as the goddess Diana) and silver using lead’s rust and resonances between such material issues and social or political issues.
The History and Historiography of Archaeological Research on Ancient Synagogues in Palestine and the Chronology of the Galilean Type
Authors: Magness Jodi 
Published: May 2024

Abstract
This chapter reviews the history of ancient synagogue research in Palestine. It demonstrates that Sukenik’s typology and chronology have deep roots in the early Zionist movement and have been used to construct an historical narrative according to which Jewish settlements in Eastern Galilee flourished in the wake of the Bar Kokhba Revolt (the Second Jewish Revolt against Rome) but declined under supposedly oppressive Christian rule.
Femininity, love, and alienation: the genius of The Second Sex
Authors: Kirkpatrick Kate 
Published: May 2024

This article presents an axiological reading of Simone de Beauvoir’s The Second Sex, reframing its most famous sentence ‘one is not born, but becomes, a woman’ as a claim about femininity, love, and alienation under particular conditions of sexual hierarchy. Because this sentence is often taken to express the thesis of The Second Sex on social constructionist readings, Section 1 rejects the aptness of this approach on three grounds. Section 2 outlines an alternative, axiological reading, which better attends to all of the work’s parts, and to Beauvoir’s emphasis on the concrete inseparability of the physiological, sexual, economic, legal, religious, moral, and aesthetic dimensions of women’s situations. Section 3 turns to the sister ‘one is not born’ clause, in Volume I—‘one is not born, but becomes, a genius’—to show that Beauvoir’s account of frustrated freedom in The Second Sex concerns not only alienated labour, sex, and love, but also aesthetic creativity and moral invention. The article arises from a British Academy Lecture delivered on 17 October 2023.
Pemberdayaan Masyarakat Melalui Literasi Dan Umkm Dengan Kegiatan Kkn Didesa Teluk Lecah
Authors: Wahyu Ramadhan  , Rian Nanda  , Susilo  , Putri Rahmadianty  , Tri Dewi Ramadhani  , Icha Nur Adinda  , Karmila saputri  , Olivia Yuswita Putri  , Afrilia Dina Rizkiyani  , Salsabila Shafiyah  , Imut Cahyana Destri  , Fedra Martina  , Angelina putri  
Published: May 2024

Pemberdayaan masyarakat merupakan konsep pembangunan ekonomi yang mengkristalkan nilai-nilai masyarakat untuk menciptakan paradigma baru dalam pembangunan yang berpusat pada masyarakat, partisipatif. Dalam kerangka ini upaya pemberdayaan masyarakat dapat dilihat dari 3 aspek: Pertama,peluang, yaitu terciptanya suasana yang memungkinkan potensi masyarakat berkembang.Kedua, pemberdayaan, yaitu memperkuat potensi masyarakat melalui langkah langkah konkrit yang melibatkan pemberian berbagai masukan dan membuka berbagai peluang yang akan membuat masyarakat semakin berdaya. Ketiga, pertahanan, yaitu perlindungan dan pembelaan kepentingan yang lemah.Tujuan pemberdayaan masyarakat untuk mengembangkan kemandirian dan kesejahteraan masyarakat dengan meningkatkan pengetahuan, sikap, keterampilan, perilaku, kemampuan, kesadaran, serta memanfaatkan sumber daya melalui penetapan kebijakan, program dan kegiatan.
Pengujian Pakis Kinca (Nephrolepis Cordifolia (L) C. Presl) Sebagai Inhibitor enzyim sitokrom sub time 2E1 Dengan Metode Doking
Authors: Rahmadani Rizka Aulia , Agustin Elvina Astria , Samsul Hadi  
Published: May 2024

CYP450 adalah enzim yang terlibat dalam monooksigenasi beragam senyawa asing dan endogen. Dari 57 enzim manusia, mungkin sepertiga bertanggung jawab metabolisme xenobiotik, termasuk obat-obatan. Penelitian ini menggunakan metode docking untuk melihat potensi senyawa yang terkandung dari Nephrolepis Cordifolia sebagai inhibitor CYP2E1. Doking yang dilakukan menggunkan senyawa yang terkandung dari Nephrolepis Cordifolia. Metode yang digunakan dalam docking adalah rigid docking menggunakan software autodock4. Analisis data yang digunakan adalah adanya ikatan hidrogen dan enrgy Gibbs. Hasil dari penelitian ini yaitu energi terendah adalah β-sitosterol dengan energi Gibbs -8.233 kcal/mol. Ikatan yang terbentuk adalah ikatan hidrofob. benzyl butyl phthalate, β-ionone, oleanolic acid terjadiny ikatan hidrofob. Myristic acid membentuk ikatan hidrogen dengan HIS 109. Eugenol membentuk ikatan hidrogen dengan THR303. Kesimpulan senyawa yang berpotensi sebagai inhibitor CYP2E1 adalah Myristic acid dan Eugenol.
Hubungan Kelas Ibu Hamil Dengan Pengetahuan Ibu Tentang Kehamilan di Wilayah Kerja Puskesmas Peukan Baro Kabupaten Pidie
Authors: Muna Sirajul , Kurniawati Evi , Aryani Roza 
Published: May 2024

Latar Belakang: Masalah pada pelayananan antenatal atau asuhan antenatal adalah suatu program yang terencana berupa observasi, edukasi dan penanganan medik pada ibu hamil, untuk memperoleh suatu proses kehamilan dan persalinan yang aman dan memuaskan. kegiatan kelas ibu hamil adalah bentuk intervensi pada tahap awal siklus hidup manusia. Diharapkan kelas ibu hamil mampu membentuk generasi yang sehat dan kuat namun dan demikiankeberhasilan pelaksanaan kelas ibu hamil masih banyak kendala. Berdasarkan survey awal yang didapatkan dari Puskesmas Peukan Baro, bulan Januari sampai Desember 2021 terdapat jumlah ibu hamil sebanyak 245 jiwa, jumlah kunjungan kehamilan K1 sebanyak 162 jiwa, jumlah kunjungan kehamilan K4 sebanyak 130 jiwa, Dan survey awal Januari sampai Juni 2023 didapatkan jumlah ibu hamil sebanyak 102 jiwa, jumlah ibu hamil yang mengikuti kelas ibu hamil sebanyak 61 jiwa (Puskesmas Peukan Baro, 2022).Tujuan: untuk mengetahui pengetahuan dengan kelas ibu tentang kehamilan di wilayah kerja Puskesmas Peukan Baro Kabupaten Pidie.Metode penelitian : penelitian ini merupakan penelitian Survey analitik dengan desain penelitian cross sectional. Populasi pada penelitian ini adalah ibu hamil yang mengikuti kelas ibu hamil yaitu sebanyak 64 orang ibu hamil pada trimester ke III. Sampel dalam penelitian ini yaitu 64 orang ibu hamil di trimester ke III. Penelitian ini dilakukan pada tanggal 06 s/d 20 Juli 2023. Metode pengumpulan datanya menggunakan kuesioner. Analisa data menggunakan SPSS Window 25. Hasil penelitian: Menunjukan bahwa ada terdapat hubungan yang bermakna kelas ibu hamil dengan pengetahuan ibu tentang kehamilan dengan Pvalue (P-Value 0,000) Kesimpulan : terdapat hubungan yang bermakna kelas ibu hamil dengan pengetahuan ibu tentang kehamilan dengan Pvalue = 0,000. Saran : Padapenelitian ini diharapkan bahwa tenaga kesehatan perlu melaksanakan kelas ibu hamil supaya ibu hamil tidak terlalu jauh menuju ke kelas ibu hamil dan bidan harus melengkapi fasilitas kelas ibu hamil yang masih kurang,
Perancangan Sistem Informasi Pada JJ Gym Menggunakan Metode Waterfall
Authors: Chandra  , Debi Setiawan  
Published: May 2024

Perancangan sistem informasi ini menggunakan bahasa pemrograman Microsoft Visual Basic Net dan ODBC 3.51 untuk pembuatan rancangan laporan. Pada Halaman Utama Aplikasi ini mempunyai pilihan utama yaitu Pendaftaran member baru, Main bebas,login dan Report. Pengguna sistem ini bisa mengakses aplikasi dengan mudah, adapun kelebihan aplikasi ini adalah memudahakan dalam pengolahan data dan proses pendaftaran member baru pada JJ GYM. Aplikasi JJ GYM dapat mendukung kinerja dari gym itu sendiri sehingga aktifitas di gym, dapat berjalan dengan baik dan maksimal. Proses pengolahan data member, data mb, dan data Report akan menjadi lebih efektif dan efisien.