bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mekanisme Koping dalam Menghadapi Menarche pada Santriwati
Authors: Harlia Putri Triyana , Rahmah Nurul Wafda Marpunir , Fujiana Fitri 
Published: June 2024

Pubertas pertama dialami oleh santriwati di lingkungan pondok pesantren yang ditandai dengan terjadinya menarche. Terdapat berbagai respon yang dideskripsikan melalui sebuah mekanisme koping pada santriwati yang mengalami menarche terutama di lingkungan pondok pesantren. Studi ini bertujuan untuk mengidentifikasi bagaimana gambaran mekanisme koping dalam menghadapi menarche pada santriwati. Pendekatan cross sectional telah digunakan dalam penelitian ini, teknik sampling yang digunakan yaitu nonprobability sampling dengan metode consecutive sampling dengan populasi berjumlah 252 orang dan didapatkan subjek sebanyak 70 orang santriwati sesuai dengan kriteria inklusi. Instrumen pengumpulan data penelitian menggunakan kuesioner strategi koping Brief Cope. Dari total 70 santriwati yang berkontribusi dalam penelitian ini, santriwati menggunakan dua mekanisme koping termasuk PFC 66(±4,14) dan EFC 64 (±10,11), meskipun demikian, dengan rata-rata terbanyak koping yang digunakan yakni koping religion 2,15(±1,227), koping emotional support 1,47 (±1,230), acceptance 1,43(±0,194), serta self distraction 1,91(±1,211). Koping yang tidak pernah digunakan adalah substance.
Hepatotoxicity and Its Impact on Mortality in COVID-19 Patients
Authors: Güzel Efraim , Baydar Toprak Oya , Aydin Kaniye 
Published: June 2024

Objective: "COVID-19-related liver damage" can occur frequently in course of COVID-19 disease and cause significant problems. Our study aimed to investigate prevalence of liver damage due to COVID-19, its risk variables, and the effect of liver damage on course of COVID-19 and mortality.
Method: One hundred patients over eighteen years of age who were hospitalized between 01.08.2021-01.03.2022 and had positive RT-PCR tests were included in our study. Impaired liver function tests were identified as having alanine aminotransferase(ALT) and aspartate aminotransferase(AST) levels exceeding upper laboratory limits.
Results: The mean age of patients included in study was 57.9 ± 14.9 years, with 49% of them being male. In our study, we had an 8% death rate and 37% of patients had abnormal liver function tests. The presence of severe disease(p<0.001), anorexia symptoms(p=0.027), and abdominal pain(p=0.010) were significant for mortality. A prolonged hospital stay was significantly associated with death(p=0.029), with the mean length of hospital stay being 11.8 ± 4.6 days. Favipiravir use for longer than five days was associated with a substantial risk of liver damage(p=0.044) and mortality(p=0.020), while use of antibiotics in carbapenem group was associated with a significant risk of death(p=0.001).
Conclusions: It is noteworthy that a considerable proportion of COVID-19 patients may exhibit increased liver tests, which could serve as a significant predictor and risk factor, particularly with regard to mortality. In order to properly monitor and manage COVID-19 patients, particularly those who are at risk, comprehensive measurements, including liver tests, should be carried out on a regular basis.
Intervención Fisioterapéutica en el Área de Tocología sobre Lesiones Simples, Mixtas o Nulas en la Musculatura Perineal: Estudio Descriptivo
Authors: Tapia Maravilla Jesus Alan , González Escobedo Carlos Alberto 
Published: June 2024

Introducción: En la actualidad no hay registros de la intervención del fisioterapeuta en el área de tocología. El objetivo del estudio es recalcar la importancia de un seguimiento fisioterapéutico en el pre parto, parto y postparto, para reducir lesiones simples, mixtas y nulas en la musculatura perineal. Metodología: Estudio observacional, descriptivo y comparativo de 100 pacientes en labor de parto, atendidas en el Hospital General de Izúcar de Matamoros. Se recolectó datos de interés los cuales son la edad, gestas, semanas de gestación y tipo de lesión. Resultados: Se muestra una media de edad de 25 años de edad, una media de gestas de 2, una media de semanas de gestación de 39 donde predominó la lesión simple, siendo el desgarro con 28% de las pacientes. Conclusión: La investigación sobre las lesiones durante el labor de parto son significativas con el objetivo de prevenir, reducir y disminuir lesiones, mediante un tratamiento específico fisioterapéutico. Existe poca relevancia sobre la importancia de la fisioterapia en el área de tocología, fomentando la educación, concientización a las mujeres antes y después del embarazo.
FEASTS Combined with Interferometry. I. Overall Properties of Diffuse H i and Implications for Gas Accretion in Nearby Galaxies
Authors: Wang 王 Jing 菁 , Lin 林 Xuchen 旭辰 , Yang 杨 Dong 冬 , Staveley-Smith Lister , Walter Fabian , Wang Q. Daniel , Wang 王 Ran 然 , Battisti A. J. , Catinella Barbara , Chen Hsiao-Wen , Cortese Luca , Fisher D. B. , Ho 何 Luis C. 子山 , Ji 季 Suoqing 索清 , Jiang 姜 Peng 鹏 , Kauffmann Guinevere , Kong 孔 Xu 旭 , Liu 刘 Ziming 孜铭 , Shao 邵 Li 立 , Wang 王 Jie 杰 , Wang 王 Lile 力乐 , Wang 王 Shun 舜 
Published: June 2024

Abstract
We present a statistical study of the properties of diffuse H i in 10 nearby galaxies, comparing the H i detected by the single-dish telescope FAST (FEASTS program) and the interferometer Very Large Array (THINGS program), respectively. The THINGS observation missed H i with a median of 23% due to the short-spacing problem of interferometry and limited sensitivity. We extract the diffuse H i by subtracting the dense H i, which is obtained from the THINGS data with a uniform flux-density threshold, from the total H i detected by FAST. Among the sample, the median diffuse-H i fraction is 34%, and more diffuse H i is found in galaxies exhibiting more prominent tidal-interaction signatures. The diffuse H i we detected seems to be distributed in disk-like layers within a typical thickness of 1 kpc, different from the more halo-like diffuse H i detected around NGC 4631 in a previous study. Most of the diffuse H i is cospatial with the dense H i and has a typical column density of 1017.7–1020.1 cm−2. The diffuse and dense H i exhibit a similar rotational motion, but the former lags by a median of 25% in at least the inner disks, and its velocity dispersions are typically twice as high. Based on a simplified estimation of circumgalactic medium properties and assuming pressure equilibrium, the volume density of diffuse H i appears to be constant within each individual galaxy, implying its role as a cooling interface. Comparing with existing models, these results are consistent with a possible link between tidal interactions, the formation of diffuse H i, and gas accretion.
Importance of Cosmic-Ray Propagation on Sub-GeV Dark Matter Constraints
Authors: De la Torre Luque Pedro , Balaji Shyam , Koechler Jordan 
Published: June 2024

Abstract
We study sub-GeV dark matter (DM) particles that may annihilate or decay into Standard Model particles producing an exotic injection component in the Milky Way that leaves an imprint in both photon and cosmic-ray (CR) fluxes. Specifically, the DM particles may annihilate or decay into e
+
e
−, μ
+
μ
−, or π
+
π
− and may radiate photons through their e
± products. The resulting e
± products can be directly observed in probes such as Voyager 1. Alternatively, the e
± products may produce bremsstrahlung radiation and upscatter the low-energy Galactic photon fields via the inverse Compton process, generating a broad emission from X-ray to γ-ray energies observable in experiments such as XMM-Newton. We find that we get a significant improvement in the DM annihilation and decay constraints from XMM-Newton (excluding thermally averaged cross sections of 10−31 cm3 s−1 ≲ 〈σ
v〉 ≲ 10−26 cm3 s−1 and decay lifetimes of 1026 s ≲ τ ≲ 1028 s, respectively) by including best-fit CR propagation and diffusion parameters. This yields the strongest astrophysical constraints for this mass range of DM of 1 MeV to a few GeV and even surpasses cosmological bounds across a wide range of masses as well.
Every Data Point Counts: Stellar Flares as a Case Study of Atmosphere-aided Studies of Transients in the LSST Era
Authors: Clarke Riley W. , Davenport James R. A. , Gizis John , Graham Melissa L. , Li Xiaolong , Fortino Willow , Honaker Easton J. , Sullivan Ian , Alsayyad Yusra , Bosch James , Knop Robert A. , Bianco Federica B. 
Published: June 2024

Abstract
Due to their short timescale, stellar flares are a challenging target for the most modern synoptic sky surveys. The upcoming Vera C. Rubin Legacy Survey of Space and Time (LSST), a project designed to collect more data than any precursor survey, is unlikely to detect flares with more than one data point in its main survey. We developed a methodology to enable LSST studies of stellar flares, with a focus on flare temperature and temperature evolution, which remain poorly constrained compared to flare morphology. By leveraging the sensitivity expected from the Rubin system, differential chromatic refraction (DCR) can be used to constrain flare temperature from a single-epoch detection, which will enable statistical studies of flare temperatures and constrain models of the physical processes behind flare emission using the unprecedentedly high volume of data produced by Rubin over the 10 yr LSST. We model the refraction effect as a function of the atmospheric column density, photometric filter, and temperature of the flare, and show that flare temperatures at or above ∼4000 K can be constrained by a single g-band observation at air mass X ≳ 1.2, given the minimum specified requirement on the single-visit relative astrometric accuracy of LSST, and that a surprisingly large number of LSST observations are in fact likely be conducted at X ≳ 1.2, in spite of image quality requirements pushing the survey to preferentially low X. Having failed to measure flare DCR in LSST precursor surveys, we make recommendations on survey design and data products that enable these studies in LSST and other future surveys.
Adolescents et institutions, crises partagées
Authors: Kecskeméti Sophie 
Published: June 2024

Soigner des adolescents dans un service public de secteur implique un dialogue quasi permanent avec un certain nombre d’institutions ; ces relations peuvent aller de la coopération à la confrontation, selon l’institution et selon la situation clinique. La famille, en général éprouvée par le contexte, nécessite une remise en circulation du dialogue et l’émergence de ce que l’on peut appeler « le bon parent », condition plus ou moins fictive de l’avancée du traitement. L’Éducation nationale est l’autre grand interlocuteur, et elle peut être d’une aide précieuse, surtout lorsque des relais (médecin ou infirmière scolaire) assurent l’interface entre le médical et le pédagogique. L’Aide sociale à l’enfance, lorsqu’elle est partie prenante, pose des difficultés de collaboration qui tiennent aux rigidités propres à tout organisme public alors que, inversement, dans notre expérience, la collaboration avec les forces de l’ordre est souvent de très bonne qualité. Plusieurs vignettes cliniques illustrent le propos.
El discurso amoroso de Luz Acmé, alter ego de María Jesús Alvarado, y la búsqueda del marido ideal
Authors: Pollarolo Giovanna 
Published: June 2024

En la primera y única novela que publicó, Nuevas cumbres (1923), María Jesús Alvarado relata la fundación de Ciudad Cumbre, una colonia modelo de la sociedad ideal que su creadora, Luz Acmé, instala “en las selvas ubérrimas de Oriente” y en la que habitan 10 000 colonos. Pero el tema central de la novela es la narración de la búsqueda de la pareja perfecta –el esposo, el socio, el amigo–, a quien por sus méritos Luz Acmé le otorgará el rol de cofundador. La sucesión de los pretendientes, aspirantes a formar parte de la pareja fundadora, y las razones por las que son rechazados –a excepción del último–, componen un discurso sobre el amor al que hago dialogar, en el presente trabajo, con los Fragmentos del discurso amoroso, de Roland Barthes. Me interesa destacar cómo la mujer, objeto amoroso en los Fragmentos de Barthes, adquiere voz y agencia en el discurso de Luz Acmé.
Nonpharmacological Techniques of Labor Analgesia
Authors: Saxena Kirti Nath 
Published: June 2024

Abstract
Labor pain has two components: uterine contractions resulting in visceral pain which occurs during the early first stage and the second stage of childbirth, and somatic pain which occurs during the late first stage and the second stage. Referred pain from uterus is transmitted to a skin area over the vertebrae L3-S2 in the area known as the Michaeli’s rhomboid. During the second stage of labor, there is severe somatic pain in the perineum which is continuous and distressing. The nonpharmacologic techniques of labor analgesia are nothing but traditional methods that have been employed for centuries by various cultures. These can be divided into mind–body interventions, alternative systems of medical practice, manual healing, bioelectromagnetic and physical methods. The mind- body interventions consist of psychoprophylactic methods such as lamaze method, yoga, sophrology, Leboyer’s method, music therapy, biofeedback, hypnosis etc. There are also techniques which activate peripheral sensory perception such as warm water baths, superficial applications of alternate hot and cold packs on the back, back massage, sterile water injections, acupuncture and transcutaneous electrical nerve stimulation. These techniques are cost effective and specially important in areas where there is shortage of staff and nonavailability of personnel to give specialized care.
Analgesic Effect of Caudal and Abdominal Nerve Blocks among Children Undergoing Inguinal Surgeries: An Original Research
Authors: Jamwal Preeti , Mohanty Ranjeet Kumar , Khan Ayesha , Mishra Jagannath , Tiwari Heena Dixit , Koneru Nihitha , Tiwari Rahul 
Published: June 2024

ABSTRACT

Context:
Pediatric inguinal surgeries sometimes cause considerable post-operative pain that requires effective analgesics. Caudal and abdominal nerve blocks may help this population with pain. It is uncertain how successful they are compared.

Methods:
A randomized controlled trial included 70 pediatric inguinal surgery patients. An abdominal (ANB) or caudal nerve block (CNB) was randomly assigned to participants in addition to usual analgesic treatment. Post-operative pain was measured at various times using a standardized scale. The initial rescue analgesia time and dose were recorded. Statistics were used to compare CNB and ANB results.

Results:
The CNB and ANB groups were demographically similar. At every time point, the two groups’ analgesic usage and post-operative pain were similar. No serious adverse events occurred in either group.

Conclusion:
CNB and ANB provide equivalent analgesia for pediatric inguinal surgeries. Both approaches alleviate pain well and have similar post-operative effects. Individual nerve block approaches must be chosen based on patient features and clinical considerations. More research is needed to determine each procedure’s long-term safety and results.
Comparative Analysis of the Color Stability of Machined Denture Base Materials: An In-Vitro Approach
Authors: Sultan Sherif El Sayed , Salloum Mahmoud Gamal 
Published: June 2024

ABSTRACT

Background:
Color stability is a crucial aspect in the selection of denture base materials as it directly impacts the esthetic appeal and longevity of dental prostheses. This study aimed to compare the color stability of different denture base materials through an in vitro approach.

Materials and Methods:
Three machined denture base materials including polymethyl methacrylate (PMMA), Acetal (AC), and polyether ether ketone (PEEK) were subjected to artificial aging using a xenon-arc lamp. Color measurements were taken before and after aging using a spectrophotometer. Statistical analysis was performed to determine any significant differences among the materials.

Results:
The color stability of the denture base materials was quantitatively assessed using parameters such as ΔE values. PEEK exhibited the least color change (ΔE = 2.1 ± 0.3), followed by AC (ΔE = 3.5 ± 0.4), while PMMA showed the highest color change (ΔE = 5.9 ± 0.7).

Conclusion:
In this in vitro study, PEEK demonstrated superior color stability compared to AC and PMMA denture base materials under artificial aging conditions. These findings emphasize the importance of material selection in achieving long-term esthetic outcomes in dental prostheses.
Comparison of hemodynamic changes in normotensive and preeclamptic parturients undergoing cesarean section under spinal anesthesia: A prospective observational study
Authors: Singariya Geeta , Yuvaraj S , Kamal Manoj , Garg Manish , Chhabra Abhas , Khatri Chanda 
Published: June 2024

Abstract

Background and Aims:
The safety of subarachnoid block (SAB) was established in preeclamptic parturients, but most of studies are of low quality. The study aimed to compare the hemodynamic parameters, phenylephrine requirement, and the neonatal outcome between normotensive and preeclamptic parturients undergoing cesarean section.

Methods:
This prospective observational study was conducted in 100 parturients, aged between 18 and 35 years, American Society of Anesthesiologists II/III scheduled for elective cesarean section under SAB. The heart rate, systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean blood pressure (MBP) were recorded at the baseline, before SAB, and every 2 min till 30 min and then every 5 min till the end of the surgery. Phenylephrine was administered in a bolus of 50 μg when the MBP falls by 20% from the baseline. Neonatal outcomes were measured with the umbilical artery pH and APGAR scores at 1 and 5 min. The Statistical Package for the Social Science (SPSS) 26 was used for analysis.

Results:
The percentage fall in DBP and mean arterial BP from baseline was statistically significant between groups (26.83% ± 9.58% vs. 20.06% ± 14.17% and 24.90% ± 6.49% vs. 20.11% ± 9.75%). The mean requirement of phenylephrine was higher in the normotensive group than the preeclamptic (95.16 ± 41.54, 68.42 ± 31.14) (P < 0.001). The umbilical artery pH and APGAR scores at 1 and 5 min were comparable in both the groups.

Conclusion:
The incidence of hypotension was less in preeclamptic and required less phenylephrine compared to normotensives, with comparable neonatal parameters in parturients undergoing cesarean section under spinal anesthesia.
Controversias en la Resección local del cáncer de recto Estadio I
Authors: Minetti Angel M. , Pitaco Ignacio , Santilli Juan Pablo , Ramallo Ignacio , Carrasco Facundo Sebastian 
Published: June 2024

Introducción
El tratamiento estándar del cáncer de recto es la escisión del mesorrecto y neoadyuvancia en el Estadio II y III. Sin embargo, tiene como consecuencia secuelas funcionales indeseables.
En tumores T1 y T2 sin compromiso ganglionar hay estudios que muestran que es posible un tratamiento con conservación del órgano, con resultados similares al tratamiento radical.
El objetivo de este estudio es presentar los resultados de una serie de pacientes tratados mediante resección local en el Estadio I.

Material y métodos:
Presentación de 13 pacientes tratados por cáncer de recto mediante resección local entre 2012 y 2021.

Resultados:
Femenino 7; edad promedio de 63,1 años.
Ubicación de las lesiones entre 2 y 8 cm (4,07) del margen. Localización: Cara posterior, 6; Cara anterior, 4; Anterolateral, 2 y posterolateral, 1.
En 3 pacientes estadificados T2, se realizó neoadjuvancia, y el resultado anatomopatologico (ypt) definitivo fue: T1 en 2 y respuesta patológica completa, 1.
Los restantes 10 pacientes que no recibieron tratamiento preoperatorio el resultado anatomopatológico final fue: T2, 2.; T1 sm1, 3 y T1 sm3, 5. En relación a la invasión linfovascular, en 8 fue negativa.
Se complicaron 2 pacientes (15,4%)
Se reoperaron dos pacientes en quienes se efectuó resección radical, uno por márgenes insuficientes y otro por presentar factores adversos en la pieza de resección.
El control alejado a 54,5 meses (12-120 m), 12 pacientes sin evidencia de recidiva local y a distancia, Falleció un paciente a los 8 meses por carcinomatosis

Conclusión:
Las estrategias actualmente empleadas en tratamiento conservador del cáncer de recto son prometedoras, por lo que se debe ofrecer a los pacientes en el entorno de un ensayo clínico con registro riguroso y seguro. La calidad de la evidencia hasta la fecha es insuficiente para reemplazar el actual tratamiento estándar.
PERBANDINGAN MUTU BETON K-250 DENGAN MENGGUNAKAN PASIR PUTIH DARI DARAT DAN PASIR BEKAS GALIAN BAUKSIT
Authors: Erlina Erlina , Kristiyanto Hery , Zulfikar Muhamad Defan 
Published: June 2024

Pasir merupakan salah satu bahan yang digunakan untuk campuran beton, adapun fungsi dari pasir dalam adukan beton adalah sebagai bahan pengisi dalam campuran beton. Pasir putih dari daratan bintan ini merupakan pasir yang diambil di daerah daratan di bintan dan pasir bekas galian bauksit ini merupakan pasir hasil bekas pertambangan bauksit di wilayah kepri. Akan tetapi sayangnya pasir ini tidak di manfaatkan oleh masyarakat setempat dalam pembuatan bangunan gedung.
Penelitian ini bertujuan untuk mencari perbandingan antara pasir putih dari daratan bintan dan pasir bekas galian bauksit manakah yang lebih baik untuk digunakan. Penelitian ini menggunakan beton dengan mutu k-250, yang diuji pada umur 3,7,14,21 dan 28 hari. Penelitian ini menggunakan metode eksperimental yang diuji langsung pada Laboratorium PUPRP serta PT. Seraya Beton Perkasa.
Dari perbandingan hasil pengujian kuat tekan beton pada umur 3,7,14,21 dan 28 hari, pasir putih daratan bintan menghasilkan kuat tekan dengan nilai yang tinggi yaitu 345.66 kg/cm² sedangkan pasir bekas galian bauksit menghasilkan nilai kauat tekan 317.24 kg/cm². Yang dimana dapat diketahui bahwa pasir putih daratan bintan lebih baik dibandingkan pasir bekas galian bauksit. dan juga, kedua pasir ini dapat digunakan untuk bangunan gedung karena sudah memenuhi persyaratan.
IDENTIFIKASI RESIKO KECELAKAAN PERLINTASAN SEBIDANG DI JALAN SOROWAJAN BARU, KOTA YOGYAKARTA
Authors: Suryanto Suryanto , Suharyanto Indra , Umam Aulia Ull 
Published: June 2024

Untuk mengetahui kinerja perlintasan sebidang diperlukan identifikasi resiko kecelakaan perlintasan sebidang yang menyangkut evaluasi perlintasan sebidang, prediksi dan probabilitas kecelakaan. Evaluasi Perlintasan Sebidang dinyatakan dengan perbandingan kondisi perlintasan Perlintasan sebidang JPL 348, Jalan Sorowajan Baru, Kota Yogyakarta yang ada dengan standar teknis menurut Peraturan Direktur Jenderal Perhubungan Darat Nomor : SK.770/KA.401/DRJD/2005, terdiri data teknis, rambu, marka dan isyarat. Tidak semua kinerja Perlintasan sebidang JPL 348 memenuhi standar teknis menurut Peraturan, Resiko kecelakaan dihitung berdasarkan Departemen Perhubungan AS, Federal Administrasi Jalan Raya meliputi prediksi tumbukan awal, tumbukan per tahun di perlintasan a= 4935, Probabilitas Kecelakaan Fatal= P(FA | A) =0,1492, Probabilitas kecelakaan cedera= P(IA/A)= 0,2658