bluuebunny/crossref_metadata_2025_split huggingface dataset:
GESTAÇÃO ECTÓPICA E SUAS RELEVÂNCIAS NO BLOCO CIRÚRGICO
Authors: Ana Gabriela Mascarenhas da Silva Teixeira  
Published: June 2024

A gestação ectópica, também conhecida como gravidez tubária, é uma condição grave e potencialmente fatal que ocorre quando o óvulo fecundado se implanta fora do útero, geralmente na tuba uterina. Essa situação exige atendimento médico imediato e intervenção cirúrgica oportuna para evitar complicações graves para a mulher. Desde o diagnóstico precoce até os procedimentos cirúrgicos e cuidados pós-operatórios, com o objetivo de auxiliar profissionais de saúde na gestão otimizada desses casos delicados.O objetivo deste artigo é discutir os principais riscos e a importância do tratamento para gestações ectópicas. Trata-se de uma revisão integrativa da literatura, ou seja, um estudo que sintetiza o conhecimento a partir da análise sistemática e rigorosa das evidências disponíveis. A pergunta central do estudo foi: quais são os principais riscos e a importância do tratamento para gestação ectópica? A pesquisa incluiu artigos completos em português, inglês e espanhol, livres e gratuitos. Incluindo artigos que são duplicados, indisponíveis ou incompletos e que têm um recorte temporal de 2014 a 2021. Os termos “gestação ectópica”, “tratamento”, “riscos” e “cuidados” foram os descritores controlados DeCS (Descritores em Ciências da Saúde). As bases de dados utilizadas foram LILACS (Literatura Latino-Americana do Caribe em Ciências da Saúde), Google Acadêmico e a biblioteca virtual SciELO. 705 estudos foram encontrados a partir da coleta de dados. A aplicação dos critérios de inclusão e exclusão foi a primeira fase da análise. Ao final da fase inicial, foram produzidos sete artigos. Na segunda etapa, seis estudos foram lidos para determinar se responderam corretamente à pergunta norteadora da pesquisa e/ou estavam relacionadas às especificações do estudo.
ANALISIS FRAMING BERITA KERUSUHAN DAN DISKRIMINASI DI PAPUA PADA MEDIA DARING TIRTO.ID
Authors: Yusuf Maulana , Muh. Akbar  , Alem Febri Sonni  
Published: June 2024

Tujuan studi ini untuk mengkaji framing berita tentang kerusuhan dan diskriminasi di Papua pada media daring Tirto.id. Penelitian ini menggunakan metode kualitatif dengan teori framing media dari Robert Entman yang merumuskan framing dari empat model pembingkaian yaitu, Define Problems, dimana hal ini berkaitan dengan bagaimana isu tersebut dapat terjadi. Kedua, Diagnose Causes, dimana hal ini berkaitan dengan apa penyebab munculnya isu tersebut. Ketiga, Make Moral Judgment, dimana hal ini berkaitan dengan nilai moral yang terkandung dalam isu tersebut. Keempat, Treatment Recommendation yang berkaitan dengan penyelesaian masalah atau rekomendasi terhadap isu tersebut. Hasil penelitian menunjukkan (Define Problem) pendefinisian masalah kerusuhan dan diskriminasi yang diberitakan oleh Tirto.id terkait kerusuhan di Papua adalah masalah kemanusiaan. Seperti diketahui sebelumnya, aksi protes yang menyebabkan kerusuhan di papua adalah bentuk kemarahan dari masyarakat Papua atas peristiwa yang terjadi di Surabaya. (Diagnose causes) yang diberitakan oleh Tirto.id adalah dugaan tindakan rasisme, diskriminasi dan intimidasi yang dilakukan oleh oknum ormas dan oknum aparat terhadap mahasiswa Papua di Surabaya. Selain itu, tindakan rasisme dan diskriminasi yang dilakukan oknum ormas dan oknum aparat terhadap mahasiswa Papua di Surabaya dan Malang adalah perilaku yang semestinya diselesaikan dan dihentikan. Keputusan moral (Make moral judgement) Tirto.id yaitu kerusuhan dan diskriminasi di Papua seharusnya pemerintah melakukan penyelesaian dengan pendekatan emosional. (Treatment Recommendation) Tirto.id menekankan bahwa pemerintah harus belajar dari sejarah terkait menyelesaikan permasalahan di Papua. Tirto.id menekankan penyelesaian permasalahan kerusuhan di Papua harusnya dengan pendekatan Sosial, Politik, dan Budaya. Tirto.id menekankan bahwa pemerintah harus belajar dari sejarah terkait menyelesaikan permasalahan di Papua.
Kata Kunci: Analisis Framing, Kerusuhan dan Diskriminasi, Papua, Tirto.id.
ASUHAN KEBIDANAN HOLISTIK POST PARTUM DENGAN TEHNIK MARMET TERHADAP KELANCARAN AIR SUSU IBU
Authors: Lustiani Ika , Sari Dwinda , Fairuza Filda , Ummu Siti 
Published: June 2024

Air Susu Ibu (ASI) mengandung beragam nutrisi dan vitamin yang dibutuhkan bayi untuk tumbuh dan berkembang. Bayi yang tidak mendapat ASI eksklusif mengalami gangguan pertumbuhan dan perkembangan otak, kurang optimal, kurang keterikatan emosional dengan ibu, lebih rentan terhadap infeksi, penyakit tidak menular, dan penyakit saluran cerna. Kementerian Kesehatan Republik Indonesia telah menetapkan target 80% pemberian ASI eksklusif di Indonesia. Berdasarkan Profil Kesehatan Provinsi Banten Tahun 2022 terdapat 74,62% anak di Banten yang mendapat ASI eksklusif dan Kota Serang merupakan daerah terendah sebesar 41,4%. Kegagalan pemberian ASI Ekslusif dapat disebabkan oleh Produksi ASI yang tidak lancer, banyak cara dalam memaksimalkan produksi ASI, salah satunya tehnik mermet. Teknik marmet lebih efektif dibandingkan dengan breast care dalam meningkatkan produksi ASI. Penelitian menggunakan kualitatif deskriptif dengan pendekatan studi kasus dan observasi lapangan secara holistik. Pengumpulan data dengan cara anamnesa, observasi, pemeriksaan, dokumentasi dan studi kasus. Asuhan dilakukan pada tanggal 31 Desember 2023 sampai tanggal 07 Januari 2024, asuhan dilakukan secara berturut-turut dengan pemberian tehnik mermet pada payudara ibu. Hasil Penelitian ini didapat adalah tehnik mermet mempercepat kelancaran ASI.
Probing the C iv Continuum Size–Luminosity Relation in Active Galactic Nuclei with Photometric Reverberation Mapping
Authors: Panda Swayamtrupta , Pozo Nuñez Francisco , Bañados Eduardo , Heidt Jochen 
Published: June 2024

Abstract
Reverberation mapping accurately determines virial black hole masses only for redshifts z < 0.2 by utilizing the relationship between the Hβ broad-line region (BLR) size and the 5100 Å continuum luminosity established with ∼200 active galactic nuclei. For quasars at z ∼ 2–3 determining the BLR size is time-consuming and limited by seasonal gaps, requiring, e.g., ∼20 yr of monitoring of the C iv emission lines. In this work, we demonstrate that an efficient alternative is to use a continuum size–luminosity relation, which can be obtained up to 150 times faster than BLR sizes using photometric reverberation mapping (PRM). We outline the method and its feasibility based on simulations and propose an observational strategy that can be carried out with meter-class telescopes. In particular, we focus on the ESO La Silla 2.2 m telescope as it is suitable for an efficient PRM campaign. These observations will provide the scaling factor between the accretion disk and the BLR size (for C iv-1350 Å), which is crucial for estimating the masses of black holes at higher redshifts (z ≳ 2–3).
On the Flux–Intensity Relation of Molecular Clouds
Authors: Yan Qing-Zeng , Yang Ji , Su Yang , Sun Yan , Zhang Shaobo , Zhou Xin , Wang Chen , Ao Yiping , Chen Xuepeng , Wang Min 
Published: June 2024

Abstract
In this work, we report a study on the relationship between flux and intensity for molecular clouds. Our analysis is established on high-quality CO images from the Milky Way Imaging Scroll Painting project. The new flux–intensity relation characterizes the flux variation of molecular clouds above specific intensity levels. We found that the flux–intensity relation exhibits two prominent features. First, the flux–intensity relation generally follows exponential shapes; second, hierarchical structures of molecular clouds are imprinted on flux–intensity relations. Specifically, 12CO flux–intensity relations are composed of one or more exponential segments, and for molecular clouds with segmented flux–intensity relations, the edge and the flux of the high-temperature component are strikingly consistent with 13CO emission. Further analysis shows that a similar relationship also exists between 13CO flux–intensity relations and C18O emission. The mean brightness temperature of molecular clouds is tightly associated with the decay rate of flux, the break temperature of exponential segments, and, to a certain extent, the flux fraction of the high-temperature component. Broadly, the flux–intensity relation of a molecular tracer, either in optically thick or in optically thin cases, has the capability to outline the silhouette of internal structures of molecular clouds, proving to be a potent tool for probing structures of molecular clouds.
Combination of trimetazidine and coenzyme Q10 for the treatment of acute viral myocarditis: a systematic review and meta-analysis
Authors: Zeng Min , Chen Zhi , Zhang Yan , Pang Yusheng 
Published: June 2024

Introduction: Coenzyme Q10 (CoQ10) is considered to be beneficial for patients with acute viral myocarditis (AVM). In addition, trimetazidine may be also beneficial to patients with AVM by promoting cardiac energy metabolism. This systematic review and meta-analysis examined the efficacy and safety of combining trimetazidine and CoQ10 with respect to CoQ10 alone in patients suffering from AVM.
Methodology: PubMed, Embase, the Cochrane Library, Wanfang, and China National Knowledge Infrastructure (CNKI) databases were searched for relevant randomized controlled trials (RCTs). An analysis of random effects was employed to combine the results.
Results: Sixteen RCTs that included 1,364 patients with AVM contributed to the meta-analysis. Overall, 687 patients received the combined treatment, while 677 received the CoQ10 alone for a duration of 2-12 weeks (mean: 5.2 weeks). In contrast to monotherapy with CoQ10, combined treatment with trimetazidine and CoQ10 significantly improved overall therapy effectiveness (risk ratio [RR]: 1.19, 95% confidence interval [CI]: 1.13 to 1.24, p < 0.001; I2 = 0%). Differences in study parameters such as the incidence of heart failure upon admission, dosage of CoQ10, or length of treatment did not significantly alter the outcomes (p for all subgroup analyses > 0.05). The combined treatment was associated with improved myocardial enzyme levels and recovery of cardiac systolic function as compared to CoQ10 alone (p all < 0.05). In addition, trimetazidine combined with CoQ10 caused no greater increase in adverse events than CoQ10 alone.
Conclusions: Trimetazidine combined with CoQ10 is an effective and safe treatment for AVM.
Assessment of Vitamin D Status, its Determinants and Relationship with Bone Health in Indian Children and Young Adults with Type-1 Diabetes
Authors: Mondkar Shruti , Oza Chirantap , Dange Nimisha , Soren Poonam , Kajale Neha , Kardile Mayur , Yewale Sushil , Gondhalekar Ketan , Khadilkar Vaman , Khadilkar Anuradha 
Published: June 2024

Abstract

Introduction:
Recent evidence suggests that vitamin D deficiency and type-1 diabetes (T1D) have a bidirectional cause–effect relationship. The objective of this study is to estimate the prevalence and determinants of vitamin D deficiency in Indian children and young adults with T1D and assess the relationship between vitamin D status and their bone health.

Methods:
It was a single-centre, cross-sectional study. Inclusion: Children, young adults aged 5–25 years with T1D duration >1 year. Exclusion: Already on vitamin D supplementation, conditions affecting bone health. Data collected: Demographic, clinical, anthropometry, biochemical, body composition, DXA, pQCT measurements.

Results:
A total of 453 participants (251 girls) with T1D, mean age = 13.5 ± 4.0 years, disease duration = 5.7 ± 3.9 years. Mean 25-hydroxy vitamin D concentration of study group was 20.4 ± 11.3 ng/mL. One hundred and eleven (24.5%) were deficient in 25-hydroxy vitamin D, 141 (31.1%) were insufficient and 201 (44.4%) were sufficient. 25-Hydroxy vitamin D concentrations had significant negative correlation with BMI Z-score, diastolic blood pressure, fat percentage Z-score and positive correlation with physical activity, haemoglobin concentrations and trabecular density (P < 0.05). Risk of developing vitamin D deficiency and insufficiency was significantly lower in subjects with good/intermediate glycaemic control versus poor control (P = 0.008). Higher diastolic blood pressure and female gender were significant risk factors for development of vitamin D deficiency.

Conclusion:
Vitamin D deficiency has high prevalence in children and youth with T1D and has detrimental effect on bone geometry of these subjects. Weight reduction increased outdoor physical activity, good glycemic control are some modifiable factors that may prove useful in preventing vitamin D deficiency.
Impact of adding 3% titanium oxide nanoparticles in different denture base materials on some of the biological, physical, and mechanical properties properties: In-vitro study
Authors: Dehis Wessam M. , Elawady Ayman F. , ElHotieby Menatallah M. , Eissa Sherihan M. 
Published: June 2024

Background/aim
Acrylic resin denture base material with all its varieties and curing techniques enormously influence their physical, biological, and mechanical properties. This study designed to evaluate and compare the impact of acrylic resin reinforcement with titanium oxide nanoparticles (TiO2NP) on physical, biological, and mechanical criteria of two dissimilar denture base materials.

Materials and methods
This study was constructed on 120 specimens of 2 different types of acrylic resin denture base materials. The specimens were divided equally into 2 groups (60 each), group I (heat cured acrylic resin) and group II (microwave cured acrylic resin). Each group was additionally divided into two subgroups (each 30). Subgroup A as control, while subgroup B was modified with 3% TiO2NP. Biological evaluation was performed on Enterococcus faecalis by using antimicrobial assay by agar diffusion test color stability via employing spectrophotometer, and the Modulus of elasticity through universal testing machine.

Results
Regarding the results of biological assessment, groups IA and IIA (control groups) revealed no inhibitory zone, while groups modified with 3% TiO2NP group IIB demonstrated significantly higher (P < 0.05) inhibitory zone when compared with group IB. Concerning color stability, Regarding color stability, Group IA and IIA (control groups) demonstrated the highest color changes, while Group IB and IIB(modified groups) demonstrated the lowest color changes. In modulus of elasticity, groups IB and IIB were significantly higher (P<0.05) than groups IIA and IIB.

Conclusion
Adding 3% TiO2NP to heat and microwave cured resins induced antibacterial characteristics against E. faecalis. Besides improvement of the evaluated mechanical (modulus of elasticity) and color stability properties.
Developing and validating a predictive model of delivering large-for-gestational-age infants among women with gestational diabetes mellitus
Authors: Zhu Yi-Tian , Xiang Lan-Lan , Chen Ya-Jun , Zhong Tian-Ying , Wang Jun-Jun , Zeng Yu 
Published: June 2024

BACKGROUND
The birth of large-for-gestational-age (LGA) infants is associated with many short-term adverse pregnancy outcomes. It has been observed that the proportion of LGA infants born to pregnant women with gestational diabetes mellitus (GDM) is significantly higher than that born to healthy pregnant women. However, traditional methods for the diagnosis of LGA have limitations. Therefore, this study aims to establish a predictive model that can effectively identify women with GDM who are at risk of delivering LGA infants.
AIM
To develop and validate a nomogram prediction model of delivering LGA infants among pregnant women with GDM, and provide strategies for the effective prevention and timely intervention of LGA.
METHODS
The multivariable prediction model was developed by carrying out the following steps. First, the variables that were associated with LGA risk in pregnant women with GDM were screened by univariate analyses, for which the P value was < 0.10. Subsequently, Least Absolute Shrinkage and Selection Operator regression was fit using ten cross-validations, and the optimal combination factors were selected by choosing lambda 1se as the criterion. The final predictors were determined by multiple backward stepwise logistic regression analysis, in which only the independent variables were associated with LGA risk, with a P value < 0.05. Finally, a risk prediction model was established and subsequently evaluated by using area under the receiver operating characteristic curve, calibration curve and decision curve analyses.
RESULTS
After using a multistep screening method, we establish a predictive model. Several risk factors for delivering an LGA infant were identified (P < 0.01), including weight gain during pregnancy, parity, triglyceride-glucose index, free tetraiodothyronine level, abdominal circumference, alanine transaminase-aspartate aminotransferase ratio and weight at 24 gestational weeks. The nomogram’s prediction ability was supported by the area under the curve (0.703, 0.709, and 0.699 for the training cohort, validation cohort, and test cohort, respectively). The calibration curves of the three cohorts displayed good agreement. The decision curve showed that the use of the 10%-60% threshold for identifying pregnant women with GDM who are at risk of delivering an LGA infant would result in a positive net benefit.
CONCLUSION
Our nomogram incorporated easily accessible risk factors, facilitating individualized prediction of pregnant women with GDM who are likely to deliver an LGA infant.
Prevalência e fatores associados à polifarmácia em pacientes atendidos em um ambulatório público de geriatria
Authors: Angelo Vidal Muniz Camilla , Azevedo Ferreira Camiliane , Maria Cavalcante de Portela Yara , Marcelo Castro e Silva Igor 
Published: June 2024

INTRODUÇÃO: A polifarmácia é o termo utilizado para descrever o uso de cinco ou mais medicamentos por indivíduo, realidade comum entre os idosos. OBJETIVO: Investigar a polifarmácia vigente nos pacientes atendidos no ambulatório de geriatria do Hospital Universitário da Universidade Federal do Maranhão, estimando a prevalência e os fatores de risco associados. MÉTODOS: Trata-se de um estudo de caráter documental, de natureza quantitativa e descritiva voltado para a análise de prontuários. Foram analisados os prontuários de indivíduos atendidos no ambulatório de geriatria no período de abril e maio de 2023. Foram analisadas as seguintes características: sexo, idade, estado civil, escolaridade, comorbidades, número de medicamentos, presença ou não de polifarmácia e a classe dos medicamentos utilizados. Para avaliar as associações, foram utilizados os testes, Qui-quadrado ou Exato de Fisher nos casos em que as exigências para aplicação do teste Qui-quadrado não foram satisfeitas. Os resultados foram considerados estatisticamente significativos quando o valor p < 0,05. RESULTADOS: A prevalência da polifarmácia foi 59% e a média de 5,4 medicações. A principal classe medicamentosa foram os anti-hipertensivos, e a hipertensão arterial a principal comorbidade. A polifarmácia teve associação significativa com: estado civil, sendo maior em idosos solteiros, e a presença de duas ou mais comorbidades. CONCLUSÃO: Os resultados podem impulsionar estudos na área da pesquisa, na assistência clínica e na saúde pública. Os idosos suscetíveis poderão ser monitorados, com práticas voltadas para a desprescrição e reabilitação.
Features of the theory of industrial crises M.I. Tugan-Baranovsky
Authors: Горощенко В.В. , Буркина Е.А. 
Published: June 2024

Статья посвящена раскрытию сущности и причин промышленных кризисов согласно теории, предложенной М. И. Туган-Барановским. Отмечены основные теории цикла, которые, по мнению ученого, объясняют проблемы кризиса производства, а именно теории производства, обмена и распределения. Делается вывод, что природа экономических кризисов коренится во всем комплексе экономических отношений общественного воспроизводства в условиях капитализма. Однако в современных условиях промышленные кризисы обусловлены факторами, которые не вписываются в рамки традиционных экономических теорий.
The article is devoted to revealing the essence and causes that determine the occurrence of industrial crises according to the theory proposed by M.I. Tugan-Baranovsky. The main theories of the cycle are noted, which, according to the scientist, explain the problems of the production crisis, namely the theories of production, exchange and distribution. As a result of his research, the author comes to the conclusion that the nature of economic crises is rooted in the entire complex of economic relations of social reproduction under capitalism. However, in modern conditions, industrial crises are caused by factors that do not fit into the framework of traditional economic theories.
Social and personnel policy of the River Fleet People’s commission during the Great Patriotic War
Authors: Волков В.В. , Нинциева Г.В. , Герасименко А.А. 
Published: June 2024

В статье рассматривается деятельность Народного комиссариата речного флота СССР в период Великой Отечественной войны в сфере социального обеспечения и подготовки работников предприятий и судов речного флота. Авторы, опираясь на большой массив архивных документов, раскрывают основные направления социальной политики наркомата: развитие мотивации работников; забота об их питании, пенсионном обеспечении, строительстве жилых помещений; предупреждение эпидемических заболеваний; трудовое устройство инвалидов войны. Показана система притока и подготовки кадров речного флота в годы войны.
The article discusses the activities of the leadership of the People’s Commissariat of the river fleet of the USSR during the Great Patriotic War in the field of social security and training of employees of enterprises and ships of the river fleet. The authors, relying on a large array of archival documents, reveal the main directions of the social policy of the people’s commissariat: the development of employee motivation; taking care of their food, pension provision, construction of residential premises; prevention of epidemic diseases; employment arrangements for disabled veterans of the Patriotic War. The article shows the system of inflow and training of personnel of the river fleet during the war years.
Regulation of competition in the banking ecosystem market
Authors: Боташева Л.С. , Суюнчев К.М. , Айдынов М.Р. 
Published: June 2024

В статье определяются конкурентные риски, связанные с деятельностью банковской экосистемы, такие как риск рыночной монополии, ограничения доступа к данным и инфраструктуре, дискриминация участников экосистемы, сокращение инновационной деятельности и нарушение прав потребителей. Анализируются методы конкурентного надзора, связанные с банковской экосистемой, включая антимонопольное законодательство, надзор за данными и доступом к инфраструктуре, а также защиту прав потребителей. Существующие нормативные меры не полностью учитывают специфическую ситуацию в банковской экосистеме. Необходимо сформулировать специальное законодательство для усиления контроля доступа к данным и инфраструктуре, сформулировать механизм саморегулирования и повысить прозрачность банковской экосистемы.
The paper identifies specific competitive risks associated with the activities of the banking ecosystem, such as the risk of market monopoly, restrictions on access to data and infrastructure, discrimination against ecosystem participants, reduction of innovation and violation of consumer rights. The methods of competitive supervision related to the banking ecosystem are analyzed, including antimonopoly legislation, supervision of data and access to infrastructure, as well as consumer protection. The existing regulatory measures do not fully take into account the specific situation in the banking ecosystem. It is necessary to formulate special legislation to strengthen access control to data and infrastructure, formulate a self-regulation mechanism and increase the transparency of the banking ecosystem.