bluuebunny/crossref_metadata_2025_split huggingface dataset:
AS IMPLICAÇÕES DA RINITE ALÉRGICA INFANTIL NA CAVIDADE BUCAL: UMA REVISÃO DE LITERATURA
Authors: Leandro Rodrigues de Sena  , Karla Maria Carneiro Rolim  , Luiz Filipe Barbosa Martins  , Dielson Alves de Sousa  , Edla Helena Salles de Brito  , Lara Ferreira Barroso  , Jamile Matos Figueiredo  , Nayane Vieira de Sousa Pimentel  , Laís Veras de Sousa  , Saara Tavares Serafim  
Published: April 2024

A rinite alérgica (RA) é uma doença crônica na qual se tem uma inflamação na mucosa nasal, a principal manifestação dela se caracteriza pela obstrução nasal. Segundo a Associação Brasileira de Alergia e Imunopatologia (ASBAI), a rinite alérgica afeta cerca de 40 milhões de brasileiros, sendo as crianças o público mais atingido entre os alérgicos. Ainda que a rinite alérgica não seja uma doença grave, sua forma duradoura pode acabar comprometendo a qualidade de vida da criança, ocasionando alterações craniofaciais e dentarias durante o seu crescimento. O intuito principal desse estudo, é reunir informações da literatura científica aos leitores, principalmente os cirurgiões-dentistas, sobre a relevância destes no tratamento e controle das consequências da rinite alérgica no período infantil, prevenindo possíveis alterações na cavidade oral. Esse estudo é do tipo integrativo, onde se realizou buscas em bases de dados MEDLINE, LILACS, Scielo e Google acadêmico, por meio de descritores “rinite alérgica”, “má oclusão”, “infância” “respiração bucal”. Nesta pesquisa foram selecionados dezesseis artigos de 2009 a 2021, nos quais se discutisse diretamente a rinite alérgica no período infantil com alterações faciais. Devido à obstrução nasal ocasionada pela rinite alérgica, a criança tem a tendência de ter uma respiração mista, “oronasal”, logo foi analisado que essa prática gera diversas mudanças na cavidade bucal, as principais são: cárie, hipossalivação, dentição cruzada ou aberta, estreitamento da maxila e diminuição da mandíbula. Depreende-se, dessa maneira, que a rinite alérgica no período infantil é um problema que está intimamente correlacionado com mudanças orofaciais e afeta a função do sistema estomatognático. Sendo necessário, por consequência, a união do cirurgião-dentista com otorrinolaringologista, sendo a ortodontia e a odontopediatria quem mais tem ênfase na atuação desses casos, para se obter dessa forma um tratamento efetivo.
Hubungan Tingkat Stres Dengan Perubahan Pola Haid Pada Mahasiswi Tingkat Akhir Stikes Panrita Husada Bulukumba Dan Universitas Muhammadiyah Bulukumba
Authors: Tenriwati  , Haerati  , Nurhalisa  
Published: April 2024

Stres menyebabkan pelepasan hormon kortisol dimana hormon kortisol berfungsi sebagai titik acuan untuk menilai tingkat stres seseorang. Stres merangsang aksis HPS yang memproduksi hormon kortisol yang dapat mengakibatkan ketidakseimbangan homon resproduksi dan terjadi gangguan pola haid. Pola haid yang normal yaitu lama haid :2-3 hari, volume haid :35-80cc/hari, siklus haid 25-35 kali/hari dan mengganti pembalut : 2-3 kali/hari.
Tujuan : diketahuinya Hubungan Tingkat Stres Dengan Perubahan Pola Haid Mahasiswi Tingkat akhir STIKES Panrita Husada Bulukumba dan Universitas Muhammadiyah Bulukumba.
Metode : Penelitian ini adalah penelitian kuantitatif dengan pendekatan cross sectional. Populasi pada penelitian ini yaitu 75 orang dengan besar sampel 52 orang.
Hasil : Hasil penelitian yaitu setelah dilakukan uji statistik dengan uji Fisher’s didapatkan hasil p=0,000, maka disimpulkan bahwa ada hubungan signifikan antara tingkat stres dengan perubahan pola haid mahasisiwi tingkat akhir di Stikes Panrita Husada Bulukumba. Dan didapatkan p=0,001 dengan uji Fisher’s, maka disimpulkan bahwa ada hubungan antara tingkat stres dengan perubahan pola haid mahasiswi tingkat akhir di universitas muhammadiyah bulukumba.
kesimpulan dan saran : Ada hubungan tingkat stres dengan perubahan pola haid mahasiswi tingkat akhir Stikes Panrita Husada Bulukumba dan Universitas Muhammadiyah Bulukumba. Mahasiswi tingkat akhir mampu mengontrol dan mengatasi stres yang dialaminya selama penyusunan tugas akhir agar pola haidnya tetap teratur.
Midwifery care during the postpartum period for Ny "A" at Bontobangun Community Health Center, Rilau Ale District, Bulukumba Regency
Authors: Eka Juniarli Sri , Nabila  , Murida Wiriyanti  
Published: April 2024

Postpartum is a normal process, but this situation can turn abnormal if it is not monitored. Complications that can occur are one of the causes of irregular PNC visits. So comprehensive midwifery care is needed, where this care is expected to be able to minimize complications that can occur during postpartum and it is hoped that the mother can go through all the processes normally, the aim is to provide comprehensive care to the child. NY “A” is 26 years old. The method used is a case study with a Varney midwifery management approach with data collection techniques including observation, interviews, physical examination and documentation studies. The results of comprehensive midwifery care in NY "A" with normal postpartum were known from the results of observations which indicated that there were no problems since midwifery care was carried out from the first postpartum visit to the fourth postpartum visit. Conclusion: Comprehensive midwifery care in NY "A" was carried out according to midwifery care standards with normal results without any complication

Keyword : Comprehensive; Midwifery
Mycofabrication of Iron Nanoparticles: Applications and Future Prospectus
Authors: Vyas Ruchi , Mathur Manisha , Singh Anuradha , Mathur Nupur 
Published: April 2024

This review article is concerned with the environmentally benign manufacturing of nanoparticles using microorganisms, particularly fungi. To create nanoparticles, scientists and researchers have Used a variety of physical and chemical processes and procedures. However, these types of nanoparticles are not environmentally friendly and frequently allow for the release of hazardous substances, which could have a negative impact on both humans and the environment. As a result, it is crucial to develop affordable and eco-friendly nanoparticle synthesis techniques and adopt green syntheses by utilizing natural microorganisms like bacteria, fungi, algae, etc. Fungi are the main focus for shaping these materials into nanoparticles since they can help cut processing time and manufacture nanoparticles in the proper size and form. They are the favored biological materials as the synthesized nanoparticles are non-toxic, thus energy efficiency is improved along with reduced environmental pollution. This is also the main justification for using fungal microorganisms in the synthesis of nanoparticles to produce ideal and non-toxic materials, which can assist in lessening the effects on the environment, improving energy efficiency, and reducing environmental pollution. The biological mechanism by which fungi synthesize iron nanoparticles, the development of diverse forms of iron nanoparticles by fungi, and the use of novel nanoparticles in the currently emerging industry are the main focus of this review.
Pengaruh Disiplin Kerja, Motivasi Kerja dan Budaya Organisasi Melalui Kepuasan Kerja Sebagai Variabel Mediasi Terhadap Pengembangan Karir (Kajian Studi Literatur Manajemen Sumber Daya Manusia)
Authors: Irmigardis Makun  , John E. H. J. FoEh  
Published: April 2024

Pengembangan karir merupakan salah satu upaya untuk mendorong seorang karyawan agar bekerja lebih baik. Artikel ini akan membahas pengaruh disiplin kerja, motivasi kerja dan budaya organisasi terhadap pengembangan karir melalui kepuasan kerja sebagai variabel mediasi. Hasil kajian pustaka dan studi hasil penelitian sejenis, dapat digunakan dengan metode analisis SEM PLS sehingga diperoleh kesimpulan sebagai berikut: 1). Disiplin kerja mempengaruhi kepuasan kerja; 2). Motivasi kerja mempengaruhi kepuasan kerja; 3). Budaya organisasi mempengaruhi kepuasan kerja karyawan; 4). Disiplin kerja mempengaruhi pengembangan karir; 5). Motivasi mempengaruhi pengembangan karir; 6). Budaya organisasi mempengaruhi pengembangan karir; 7). Kepuasan kerja mempengaruhi pengembangan karir; 8). Disiplin kerja, motivasi kerja, budaya organisasi mempengaruhi kepuasan kerja; 9). Kepuasan kerja memediasi hubungan disiplin kerja, motivasi kerja, dan budaya organisasi terhadap pengembangan karir.
Du métro à la rue, de la désobéissance civile à la ‘Primera Línea’ : l’explosion sociale au Chili en octobre 2019
Authors: Jammet-Arias Nathalie 
Published: April 2024

En octobre 2019, le Chili est le théâtre d’une explosion sociale qui va profondément secouer un pays réputé stable. Il s’agit, dans cet article, d’étudier cette mobilisation sociale sans précédent depuis la fin de la dictature à travers les relations entre le pouvoir et les manifestants grâce à l’analyse des réactions du gouvernement, des collaborations entre les différents groupes, des symboles utilisés dans les pratiques de résistance au pouvoir et aux forces de sécurité de l’État et du collectif constitué par la « Première ligne ». Le mouvement sera étudié de façon chronologique.
Sur la «  désobéissance poétique  »
Authors: Etienne-Greenwood Tobias 
Published: April 2024

Fin 2019, un collectif d’artivistes se constitue dans la province de Mendoza en réaction à la tentative de modifier la loi 7722 qui protège l’eau et empêche, de fait, la plupart des projets extractivistes dans la région. Très vite, ce collectif occupe un rôle prépondérant dans le «  Mendozaguazo  » en diffusant la lutte sur les réseaux sociaux, mais aussi en intervenant dans l’espace public dans des actions parfois qualifiées de «  désobéissance poétique  ». À partir de données collectées sur les réseaux sociaux du collectif et de rencontres avec des militants, cet article se présente comme un moment de dialogue entre les théories de la désobéissance civile avec des mises en perspective informée par la pratique poético-esthétique des membres de ce collectif.
Knowledge on anaphylaxis, its associated factors and self-perceived confidence on its management among medical officers attached to the Teaching Hospital Karapitiya
Authors: Dharmaratne C. J. , Dahanayaka N. J. 
Published: April 2024

Introduction: Knowledge on anaphylaxis management is paramount in saving lives. The main objective of this study was to assess the knowledge on anaphylaxis, its associated factors and self-perceived confidence on its management among medical officers practising at Teaching Hospital, Karapitiya. Methods: This cross-sectional study included all medical officers (n=531) working in Teaching Hospital Karapitiya. The data were collected within three months via a self-administered questionnaire. The questionnaire consisted of 3 main parts. Part A for demographic data, part B on knowledge on diagnosis and management of anaphylaxis generated from case scenarios and part C on self-perceived confidence on diagnosis and management of anaphylaxis.Results: The response rate was 79% (n=395). Of the respondents, only 9.36% doctors diagnosed all case scenarios correctly. Nearly a quarter (25.8%) identified all anaphylaxis triggers and 25% identified all the amplifying factors. Majority (91.9%) of doctors identified adrenaline as the first line treatment. More than 80% correctly mentioned the second line treatment with more than 90% scored for correct initial management. The score of knowledge on treatment doses of adrenaline in the paediatric age group was poor (60%). Importance of adrenaline auto-injector was identified by 69.1% but knowledge on further follow up of anaphylaxis was sub-optimal. Self-perceived confidence in diagnosis of anaphylaxis 87.6% and the self-perceived confidence in management of anaphylaxis was 83.9%. Conclusions & recommendations: Even though the self-perceived confidence in diagnosis and management of anaphylaxis was satisfactory among the doctors, the knowledge on triggers and amplifying factors were sub-optimal. Novel educational and training strategies must be implemented to overcome the identified deficiencies.
Prognostic value of a nomogram model for postoperative liver metastasis of colon cancer
Authors: Cheng De-Xin , Xu Kang-Di , Liu Han-Bo , Liu Yi 
Published: April 2024

BACKGROUND
Colon cancer is one of the most common malignant tumors of the digestive system. Liver metastasis after colon cancer surgery is the primary cause of death in patients with colon cancer.
AIM
To construct a novel nomogram model including various factors to predict liver metastasis after colon cancer surgery.
METHODS
We retrospectively analyzed 242 patients with colon cancer who were admitted and underwent radical resection for colon cancer in Zhejiang Provincial People’s Hospital from December 2019 to December 2022. Patients were divided into liver metastasis and non-liver metastasis groups. Sex, age, and other general and clinicopathological data (preoperative blood routine and biochemical test indexes) were compared. The risk factors for liver metastasis were analyzed using single-factor and multifactorial logistic regression. A predictive model was then constructed and evaluated for efficacy.
RESULTS
Systemic inflammatory index (SII), C-reactive protein/albumin ratio (CAR), red blood cell distribution width (RDW), alanine aminotransferase, preoperative carcinoembryonic antigen level, and lymphatic metastasis were different between groups (P < 0.05). SII, CAR, and RDW were risk factors for liver metastasis after colon cancer surgery (P < 0.05). The area under the curve was 0.93 for the column-line diagram prediction model constructed based on these risk factors to distinguish whether liver metastasis occurred postoperatively. The actual curve of the column-line diagram predicting the risk of postoperative liver metastasis was close to the ideal curve, with good agreement. The prediction model curves in the decision curve analysis showed higher net benefits for a larger threshold range than those in extreme cases, indicating that the model is safer.
CONCLUSION
Liver metastases after colorectal cancer surgery could be well predicted by a nomogram based on the SII, CAR, and RDW.
Predicting short-term thromboembolic risk following Roux-en-Y gastric bypass using supervised machine learning
Authors: Ali Hassam , Inayat Faisal , Moond Vishali , Chaudhry Ahtshamullah , Afzal Arslan , Anjum Zauraiz , Tahir Hamza , Anwar Muhammad Sajeel , Dahiya Dushyant Singh , Afzal Muhammad Sohaib , Nawaz Gul , Sohail Amir H , Aziz Muhammad 
Published: April 2024

BACKGROUND
Roux-en-Y gastric bypass (RYGB) is a widely recognized bariatric procedure that is particularly beneficial for patients with class III obesity. It aids in significant weight loss and improves obesity-related medical conditions. Despite its effectiveness, postoperative care still has challenges. Clinical evidence shows that venous thromboembolism (VTE) is a leading cause of 30-d morbidity and mortality after RYGB. Therefore, a clear unmet need exists for a tailored risk assessment tool for VTE in RYGB candidates.
AIM
To develop and internally validate a scoring system determining the individualized risk of 30-d VTE in patients undergoing RYGB.
METHODS
Using the 2016–2021 Metabolic and Bariatric Surgery Accreditation Quality Improvement Program, data from 6526 patients (body mass index ≥ 40 kg/m2) who underwent RYGB were analyzed. A backward elimination multivariate analysis identified predictors of VTE characterized by pulmonary embolism and/or deep venous thrombosis within 30 d of RYGB. The resultant risk scores were derived from the coefficients of statistically significant variables. The performance of the model was evaluated using receiver operating curves through 5-fold cross-validation.
RESULTS
Of the 26 initial variables, six predictors were identified. These included a history of chronic obstructive pulmonary disease with a regression coefficient (Coef) of 2.54 (P < 0.001), length of stay (Coef 0.08, P < 0.001), prior deep venous thrombosis (Coef 1.61, P < 0.001), hemoglobin A1c > 7% (Coef 1.19, P < 0.001), venous stasis history (Coef 1.43, P < 0.001), and preoperative anticoagulation use (Coef 1.24, P < 0.001). These variables were weighted according to their regression coefficients in an algorithm that was generated for the model predicting 30-d VTE risk post-RYGB. The risk model's area under the curve (AUC) was 0.79 [95% confidence interval (CI): 0.63-0.81], showing good discriminatory power, achieving a sensitivity of 0.60 and a specificity of 0.91. Without training, the same model performed satisfactorily in patients with laparoscopic sleeve gastrectomy with an AUC of 0.63 (95%CI: 0.62-0.64) and endoscopic sleeve gastroplasty with an AUC of 0.76 (95%CI: 0.75-0.78).
CONCLUSION
This simple risk model uses only six variables to assist clinicians in the preoperative risk stratification of RYGB patients, offering insights into factors that heighten the risk of VTE events.
Impact of different anastomosis methods on post-recurrence after intestinal resection for Crohn's disease: A meta-analysis
Authors: Wang Zheng-Zuo , Zhao Chun-Hua , Shen Hui , Dai Gui-Ping 
Published: April 2024

BACKGROUND
Crohn's disease (CD) is a chronic inflammatory disease of the gastrointestinal tract, often requiring intestinal resection as a common treatment. However, recurrence after surgery is common. The anastomotic configuration after bowel resection appears to be associated with the recurrence of CD. Previous studies have suggested that the Kono-S anastomosis may help to reduce the recurrence rate. However, the results remain controversial. Therefore, evidence-based evidence is needed to prove the advantages of Kono-S anastomosis.
AIM
To measure the influence of anastomosis techniques on the long-term relapse rate of CD by conducting a meta-analysis.
METHODS
PubMed, Scopus, and Cochrane Library were searched until October 8, 2023. Patients who underwent intestinal resection due to CD were included. The intervention measures included Kono-S anastomosis, whereas the control group received traditional anastomosis such as end-to-end, end-to-side, and side-to-side anastomosis. Only randomized clinical trials and observational studies were included. The primary outcome measures were hospital stay post-surgery, overall postoperative complication incidence, the proportion of Clavien-Dindo grade IIIa or higher, overall postoperative recurrence rate, and Rutgeerts score.
RESULTS
From 2011 to 2023, six articles met the inclusion and exclusion criteria. The results indicated that Kono-S anastomosis can reduce the hospital stay post-surgery of patients with CD [MD = -0.26, 95%CI: -0.42 to -0.10, P = 0.002] than other traditional anastomosis methods. Compared to other traditional anastomosis methods, Kono-S anastomosis can significantly reduce the total recurrence rate [MD = 0.40, 95%CI: 0.17 to 0.98, P = 0.05] and postoperative Rutgeerts score [MD = -0.81, 95%CI: -0.96 to -0.66, P < 0.001] in patients with CD. However, there is no significant disparity in the overall occurrence of postoperative complications and the proportion of Clavien-Dindo ≥ IIIa.
CONCLUSION
Kono-S anastomosis has the potential to expedite the recuperation of CD and diminish relapse hazards; however, additional larger trials are necessary to authenticate its effectiveness.
ANALISIS DAMPAK POLIGAMI DALAM KEHARMONISAN RUMAH TANGGA: STUDI KASUS DI KECATAMAN KANIGARAN KOTA PROBOLINGGO
Authors: Hoiriyah Rosidatul , Fida Imanuddin Abil 
Published: April 2024

This article aims to examine the concept of the impact of polygamy on household harmony which is currently, widespread in people’s lives today. The family, as a unit formed from marriage, creates a relationship that is Sakinah, Mawadah, Warahmah. Polygamy, is a process in which a man has more than one wife at the same time, Islam allows it with certain conditions. However, the psychological impact on wives and children includes family conflict, competition between wives, as well as negative impacts on children’s development, including lack of love and trauma. Justice in polygamy is the key to preventing these negative impacts.
Keywords: Polygamy; Impact of Polygamy; Family.
مدى مشروعية التدخل العسكري الإنساني "دراسة تحليلية"
Authors: الوهيبي إعتصام العبد صالح 
Published: April 2024

تناولت الدراسة مدى مشروعية التدخل العسكري الإنساني، والذي يعد من المفاهيم التي باتت تشغل بال المهتمين بالقانون الدولي وغيرهم، لما له من أثر كبير على مستقبل مفهوم السيادة الوطنية، حيث أصبح جلياً أن بعض الدول الكبرى تستخدم هذا المفهوم أحيانا لتحقيق أهداف خاصة قد لا تتعلق بالضرورة بحماية ضحايا العنف الذي تمارسه الدول، مما يوضح ضرورة السعي إلى تقنين مفهوم التدخل العسكري الإنساني وتقييد استخدامه حتى لا يكون سبباً لانتهاك سيادة الدول، وأصبح لزاماً على الدول الالتزام بالمعاهدات والاتفاقيات الدولية المتعددة، خاصة تلك التي تتعلق بالقانون الدولي الإنساني، وحقوق الإنسان، وجعلت من التدخل مسألة مشروعة، وفقا لميثاق الأمم المتحدة في رأي الكثير من الفقهاء، وذلك في حالة انتهاك الدولة المعنية لالتزاماتها الدولية التي تفرضها عليها المعاهدات الدولية، من خلال ارتكاب الجرائم التي تصنف ضمن الجرائم الأشد خطورة على الإنسانية، كما أن بعض الدول الكبرى تسعى إلى استغلال مفهوم التدخل العسكري الإنساني من أجل تحقيق أهداف خاصة لا علاقة لها بحماية السلم والأمن الدوليين.
Gemüse außer Konkurrenz
Authors: Schaal René 
Published: April 2024

Frankfurt a.M. Auch im Gemüseanbau sind Unkräuter ungebetene Gäste: Sie konkurrieren mit den Gemüsepflanzen um Nährstoffe, Wasser und Sonnenlicht und mindern so den Ertrag. Forscher arbeiten an einer nachhaltigen Alternative zu chemisch-synthetischen Pflanzenschutzmitteln.
Pengembangan Media Pembelajaran Sipakainga’ Berbasis Android Untuk Meningkatkan Kemampuan Membaca Pemahaman Dan Kemandirian Belajar Siswa Sekolah Dasar
Authors: Ramdayani Finka Sari , Azis Sitti Aida , Akhir Muhammad 
Published: April 2024

Penelitian ini merupakan penelitian pengembangan yang bertujuan untuk menghasilkan media pembelajaran Sipakainga’ pada mata pelajaran Ilmu Pengetahuan Alam dan Sosial (IPAS) untuk meningkatkan membaca pemahaman dan kemandirian belajar siswa kelas IV SDN No. 36 Lapporo. Model pengembangan yang digunakan mengacu pada model 4D oleh S. Thiagaranja, Dorothy S. Sammel, dan Melyn I. Sammel meliputi define, design, develop, dan disseminate. Instrumen yang digunakan adalah lembar validasi ahli media dan ahli materi, angket respon guru dan siswa, tes membaca pemahaman, angket kemandirian belajar dan dokumentasi. Hasil penelitian ini yaitu Pertama, kevalidan media pembelajaran Sipakainga’ berdasarkan ahli materi yaitu 95,6%, sedangkan ahli media yaitu 94,5% termasuk kategori sangat valid. Kedua, kepraktisan media pembelajaran Sipakainga’ berdasarkan angket respon guru dan siswa memperoleh nilai persentase masing-masing 100% kategori sangat praktis. Ketiga, keefektifan media pembelajaran Sipakainga’ pada membaca pemhaman dan kemandirian belajar menggunakan paired sample t-test yang menunjukkan nilai signifikansi 0,000 atau nilai sig<0,05 sehingga terdapat perbedaan yang signifikan antara hasil keterampilan membaca pemahaman dan kemandirian belajar di kelas kontrol dan kelas eksperimen antar sebelum dan sesudah menggunakan media pembelajaran Sipakainga’. Dengan demikian, temuan ini menegaskan bahwa media pembelajaran Sipakainga’ dapat menjadi alternatif efektif dalam meningkatkan membaca pemahaman dan kemandirian belajar siswa.