bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ascertaining injury risk issues through big data analysis: text-mining based analysis of national emergency response data
Authors: Won Jin-Young , Lee Yu-Rim , Cho Myeong-Heum , Kim Yun-Tae , Lee Ji-Hyang 
Published: February 2024

ObjectivesInjury prevention can be achieved through various interventions, but it faces challenges due to its comprehensive nature and susceptibility to external environmental factors, making it difficult to detect risk signals. Moreover, the reliance on standardized systems leads to the construction and statistical analysis of numerous injury surveillance data, resulting in significant temporal delays before being utilized in policy formulation. This study was conducted to quickly identify substantive injury risk problems by employing text mining analysis on national emergency response data, which have been underutilized so far.MethodsWith emerging issue and topic analyses, commonly used in science and technology, we detected problematic situations and signs by deriving injury keywords and analyzing time-series changes.ResultsIn total, 65 injury keywords were identified, categorized into hazardous, noteworthy, and diffusion accidents. Semantic network analysis on hazardous accident terms refined the injury risk issues.ConclusionAn increased risk of winter epidemic fractures due to extreme weather, self-harm due to depression (especially drug overdose and self-mutilation), and falls was observed in older adults. Thus, establishing effective injury prevention strategies through inter-ministerial and interagency cooperation is necessary.
Diet quality and snack preferences of Turkish adolescents in private and public schools
Authors: Sezer Fatma Elif , Alpat Yavaş İdil , Saleki Neda , Bakırhan Hande , Pehlivan Merve 
Published: March 2024

IntroductionSocioeconomic level is one of the important factors determining diet quality. Snack preferences are affected by socioeconomic level. The objective of this research was to determine the effect of socioeconomic levels on diet quality and snack preferences among adolescents from different socioeconomic backgrounds.MethodsThe study involved 118 adolescents aged between 10-18 years residing in Istanbul. A questionnaire prepared by the researchers was used to obtain information on the adolescents’ dietary habits, consumption of main meals and snacks, habits, and food consumption records. The participants’ food consumption was assessed using the retrospective 24-hour recall method, and diet quality was evaluated using the calculated nutrient adequacy ratio (NAR) and mean adequacy ratio (MAR).ResultsThe mean age of the adolescents was 16.42±0.89 years. The number of snacks consumed in private schools was found to be higher than in public schools (p &lt; 0.05). The NAR score for vitamin C consumption was significantly higher in private schools compared to public schools (p &lt; 0.05). Although the MAR scores of adolescents in private schools were higher than those in public schools, this difference was not statistically significant. The majority of adolescents in private schools regularly consumed fresh fruit (67.2%), milk (60.3%), yogurt (60.3%), and nuts (56.9%) as snacks. In contrast, 45% of adolescents in public schools regularly consumed pastries (p &lt; 0.05).DiscussionIt was observed that adolescents studying in public schools had a lower tendency to prefer healthy foods for snacks compared to those in private schools. Socioeconomic level was identified as an important factor influencing eating habits during adolescence. Considering that the level of income is significantly different between the adolescents studying at private and public schools, the higher consumption of snacks by the adolescents studying at private school may be associated with higher income.
Low-profile prosthetic foot stiffness category and size, and shoes affect axial and torsional stiffness and hysteresis
Authors: Tacca Joshua R. , Colvin Zane A. , Grabowski Alena M. 
Published: February 2024

IntroductionPassive-elastic prosthetic feet are manufactured with numerical stiffness categories and prescribed based on the user's body mass and activity level, but mechanical properties, such as stiffness values and hysteresis are not typically reported. Since the mechanical properties of passive-elastic prosthetic feet and footwear can affect walking biomechanics of people with transtibial or transfemoral amputation, characterizing these properties can provide objective metrics for comparison and aid prosthetic foot prescription and designMethodsWe characterized axial and torsional stiffness values, and hysteresis of 33 categories and sizes of a commercially available passive-elastic prosthetic foot model [Össur low-profile (LP) Vari-flex] with and without a shoe. We assumed a greater numerical stiffness category would result in greater axial and torsional stiffness values but would not affect hysteresis. We hypothesized that a greater prosthetic foot length would not affect axial stiffness values or hysteresis but would result in greater torsional stiffness values. We also hypothesized that including a shoe would result in decreased axial and torsional stiffness values and greater hysteresis.ResultsProsthetic stiffness was better described by curvilinear than linear equations such that stiffness values increased with greater loads. In general, a greater numerical stiffness category resulted in increased heel, midfoot, and forefoot axial stiffness values, increased plantarflexion and dorsiflexion torsional stiffness values, and decreased heel, midfoot, and forefoot hysteresis. Moreover, for a given category, a longer prosthetic foot size resulted in decreased heel, midfoot, and forefoot axial stiffness values, increased plantarflexion and dorsiflexion torsional stiffness values, and decreased heel and midfoot hysteresis. In addition, adding a shoe to the prosthetic foot resulted in decreased heel and midfoot axial stiffness values, decreased plantarflexion torsional stiffness values, and increased heel, midfoot, and forefoot hysteresis.DiscussionOur results suggest that manufacturers should adjust the design of each category to ensure the mechanical properties are consistent across different sizes and highlight the need for prosthetists and researchers to consider the effects of shoes in combination with prostheses. Our results can be used to objectively compare the LP Vari-flex prosthetic foot to other prosthetic feet to inform their prescription, design, and use for people with a transtibial or transfemoral amputation.
Challenges in the delivery of health services for people living with HIV in Dar es Salaam, Tanzania: a qualitative descriptive study among healthcare providers
Authors: Iseselo Masunga K. , Ambikile Joel S. , Lukumay Gift G. , Mosha Idda H. 
Published: February 2024

BackgroundHealthcare providers play an important role in the provision of health services in care and treatment clinics (CTCs), as they help clients cope with their HIV/AIDS diseases by providing health education and counseling. Little is known about the challenges that healthcare providers face when providing such services to people living with HIV (PLWH) in low-resource settings. This study aimed to explore and understand the challenges that healthcare providers face in delivering care to PLWH in Dar es Salaam, Tanzania.Materials and methodsWe conducted a qualitative descriptive study to explore and understand the challenges that healthcare providers face when providing health services to PLWH. This study was carried out in the CTCs in the Ubungo District, Dar es Salaam, Tanzania. A total of 10 healthcare providers were recruited using a purposive sampling technique until information saturation was attained. Face-to-face interviews were conducted to obtain the data. We transcribed the interviews verbatim and analyzed them using reflexive thematic analysis to obtain the themes and subthemes.FindingsClient-related challenges included difficulty in managing antiretroviral (ARV) drug reactions of clients and their financial, follow-up, and index tracking problems; facility-related challenges included inadequate and limited space for CTC services, lack of integrated HIV services, and shortage of staff, which needed collaborative efforts to overcome; and healthcare provider-related challenges included a lack of up-to-date knowledge and limited access to health information. These challenges limit the provision of quality HIV care to the clients.ConclusionThis study highlights the important challenges that hinder the quality of HIV services at CTCs. The implementation of appropriate infrastructure to promote the privacy and confidentiality of clients is necessary as it alleviates the burden on the jobs of healthcare providers. The findings also suggest that healthcare providers improvise solutions to meet the needs of the clients in the study setting. Permanent resolution is required to overcome the challenges in CTCs. Further research on both providers and clients should be conducted to explore the challenges in CTCs in other similar settings.
Characterization of chemical reactions of silver diammine fluoride and hydroxyapatite under remineralization conditions
Authors: Kaur M. , Shahid S. , Karpukhina N. , Anderson P. , Wong F. S. L. 
Published: March 2024

IntroductionSilver Diammine Fluoride (SDF) is a clinically used topical agent to arrest dental caries. However, the kinetics of its chemical interactions with hydroxyapatite (HA), the principal inorganic component of dental enamel, are not known. The aim was to characterize the step-wise chemical interactions between SDF and HA powder during the clinically important process of remineralization.MethodsTwo grams of HA powder were immersed in 10 ml acetic acid pH = 4.0 for 2 h to mimic carious demineralization. The powder was then washed and dried for 24 h and mixed with 1.5 ml SDF (Riva Star) for 1 min. The treated powder was then air-dried for 3 min, and 0.2 g was removed and stored in individual tubes each containing 10 ml remineralizing solution. Powder was taken from each tube at various times of exposure to remineralization solution (0 min, 10 min, 2 h, 4 h, 8 h, 24 h, and 10 days), and characterized using Magic Angle Spinning-Nuclear Magnetic Resonance (MAS-NMR) spectroscopy.Results and discussion19F MAS-NMR spectra showed that calcium fluoride (CaF2) started to form almost immediately after HA was in contact with SDF. After 24 h, the peak shifted to −104.5 ppm suggesting that fluoride substituted hydroxyapatite (FSHA) was formed with time at the expense of CaF2. The 31P MAS-NMR spectra showed a single peak at 2.7 ppm at all time points showing that the only phosphate species present was crystalline apatite. The 35Cl MAS-NMR spectra showed formation of silver chloride (AgCl) at 24 h. It was observed that after the scan, the whitish HA powder changed to black color. In conclusion, this time sequence study showed that under remineralization conditions, SDF initially reacted with HA to form CaF2 which is then transformed to FSHA over time. In the presence of chloride, AgCl is formed which is subsequently photo-reduced to black metallic silver.
US Veterans Administration Autosomal Dominant Polycystic Kidney Disease Cohort: Demographic, Comorbidity, and Key Laboratory Data Characteristics
Authors: Gallini Julia W. , Jasien Christine L. , Mrug Michal , Cui Xiangqin 
Published: March 2024

Key Points

We built a cohort of 12,217 patients diagnosed with autosomal dominant polycystic kidney disease from 1999 to 2020 in the national Veteran Affairs electronic medical record system.We characterized the cohort on demographics, comorbidities, and key laboratory measurements.

Background
We used the largest integrated US healthcare system, the Veterans Health Administration, to establish a robust resource for demographic, longitudinal outcome, and predictive modeling studies in autosomal dominant polycystic kidney disease (ADPKD).

Methods
We built the ADPKD cohort by extracting the relevant electronic health record data from nationwide Veterans Health Administration database (years 1999–2020).

Results
We identified 12,217 patients diagnosed with ADPKD. By the end of the 20-year study period, 5342 patients with ADPKD were deceased, 1583 were alive but reached ESKD, and 4827 remained alive without ESKD. Most demographic characteristics of this ADPKD cohort resemble the total US veteran population. For example, 94% were male patients, 45% age 65 years or older, 85% non-Hispanic, and 66% white; however, 19% were Black/African Americans (versus 12% in the general veteran population; a relevant enrichment after considering age and sex distributions between races). The comorbidities overrepresented in the ADPKD cohort include hypertension (89% versus 50%), diabetes (32% versus 22%), depression (40% versus 10%), chronic obstructive pulmonary disease (30% versus 6%), and congestive heart failure (21% versus 1%). By contrast, obesity was underrepresented in veterans with ADPKD (30% versus 41%).

Conclusions
We established a large electronic medical record-based cohort of ADPKD veterans. Here, we provide initial analysis of its demographic, comorbidity, and key laboratory data.
Pengaruh Konsumsi Abon Jantung Pisang terhadap Peningkatan Produksi ASI pada Ibu Menyusui di Wilayah Kerja UPT. Puskesmas Damai
Authors: Leolita Elsa , Endah Wahyutri  , Hesti Prawita Widiastuti  
Published: March 2024

Coverage of exclusive breastfeeding in the working area of UPT. Damai Health Center is still relatively low, this is due to insufficient milk production. Lactagogum is a substance that can increase the production of breast milk, which laktagogum is found in shredded banana blossoms. The research used the experimental research with design quasi-experimental and time series research design is one group pre and post test without control . The sample of this research is breastfeeding mothers in the working area of UPT. The Damai Health Center is 18 people. The sampling technique used purposive sampling. Instrumen of research is observation paper. Data analysis using paired t test ( paired sample t test ). After being given 200 grams of shredded banana flower with a frequency of 2 times a day for 7 days, the mean difference before and after consuming shredded banana heart on the first day was 8.33 and the p value was 0.014 <0.05. Ha accepted there is an effect of consumption of shredded banana to increasing milk production in breastfeeding mothers in the UPT work area.Damai Health Center.
Abstrak

Cakupan ASI Ekslusif di wilayah kerja UPT. Puskesmas Damai masih relatif rendah, ini disebabkan produksi ASI yang tidak mencukupi. Laktagogum merupakan zat yang dapat meningkatkan produksi ASI, yang mana laktagogum terdapat pada abon jantung pisang. Jenis penelitian ini adalah eksperimental dengan rancangan quasi eksperimen dan desain penelitian time series one grup pre and post test without control. Sampel penelitian ini adalah ibu menyusui di wilayah kerja UPT. Puskesmas Damai berjumlah 18 orang. Teknik sampling menggunakan purposive sampling. Instrumen penelitian ini adalah lembar observasi. Analisis data yang digunakan uji t berpasangan (paired sampel t test). Hasil Penelitian setelah diberikan abon jantung pisang sebanyak 200 gram dengan frekuensi 2 kali sehari selama 7 hari didapatkan hasil p value yaitu 0,014 < 0,05. Ha diterima menunjukan ada pengaruh konsumsi abon jantung pisang terhadap peningkatan produksi ASI pada Ibu menyusui di wilayah kerja UPT. Puskesmas Damai
Analisis Asuhan Keperawatan pada Pasien Skizofrenia dengan Masalah Risiko Perilaku Kekerasan
Authors: Prajna Muthi Annisa , Angga Sugiarto  , Suharsono  , Erna Erawati  
Published: March 2024

Schizophrenia is a severe and chronic mental disorder that can cause positive and negative symptoms. One of the positive symptoms of schizophrenia, namely disorganized speech, is a manifestation of the risk of violent behavior. The risk of violent behavior is a form of expression of anger that is expressed excessively and uncontrollably verbally to the point of injuring the individual himself, other people or damaging the environment. This is motivated by an increase in the risk of violent behavior from 2021 to 2022 reaching 1422 patients. There is a fairly high increase, so there will be the application of progressive muscle relaxation therapy to control the patient's anger. The case study was carried out for five days from March 14 to March 18 2023 with the aim of knowing the implementation of nursing care for schizophrenic patients with a risk of violent behavior through progressive muscle relaxation therapy. Involving one subject using a descriptive method. The results obtained after doing progressive muscle relaxation therapy, the patient's self-control increased with decreased verbalization of swearing, decreased behavior that damaged the surrounding environment, decreased aggressive behavior, decreased loud voices, decreased sharp speech.
Abstrak

Skizofrenia merupakan gangguan jiwa berat dan kronis yang dapat menimbulkan gejala positif dan negatif. Salah satu gejala positif skizofrenia, yaitu bicara tidak teratur, merupakan manifestasi dari risiko perilaku kekerasan. Risiko perilaku kekerasan merupakan suatu bentuk ekspresi kemarahan yang diungkapkan secara berlebihan dan tidak terkendali secara verbal hingga melukai individu itu sendiri, orang lain, atau merusak lingkungan. Hal ini dilatarbelakangi oleh peningkatan risiko perilaku kekerasan pada tahun 2021 hingga 2022 mencapai 1422 pasien. Terdapat peningkatan yang cukup tinggi sehingga akan dilakukan penerapan terapi relaksasi otot progresif untuk mengendalikan amarah pasien. Studi kasus dilakukan selama lima hari pada tanggal 14 Maret s/d 18 Maret 2023 dengan tujuan untuk mengetahui pelaksanaan asuhan keperawatan pada pasien skizofrenia dengan risiko perilaku kekerasan melalui terapi relaksasi otot progresif. Melibatkan satu subjek dengan menggunakan metode deskriptif. Hasil yang didapat setelah dilakukan terapi relaksasi otot progresif, kontrol diri pasien meningkat dengan penurunan verbalisasi makian, penurunan perilaku merusak lingkungan sekitar, penurunan perilaku agresif, penurunan suara keras, penurunan ucapan tajam.
Analisis Pengetahuan Dagusibu Obat Pada Ibu PKK Lingkungan Panjang Kidul, Kabupaten Semarang
Authors: Dyahariesti Niken , Mufidah Arlista Alimatul 
Published: March 2024

Pengobatan sendiri telah banyak dilakukan masyarakat namun dengan pengetahuan obat yang masih kurang. Dagusibu (dapatkan, gunakan, simpan, dan buang) obat adalah program yang dicanangkan IAI guna mendukung Gerakan Keluarga Sadar Obat dengan tujuan mencerdaskan masyarakat mengenai obat. Tujuan Penelitian untuk mengetahui tingkat pengetahuan Dagusibu obat pada Ibu PKK di Lingkungan Panjang Kidul, Kelurahan Panjang, Kecamatan Ambarawa, Kabupaten Semarang serta mengetahui hubungan tingkat pengetahuan dengan faktor umur, pendidikan dan pekerjaan. Penelitian menggunakan metode penelitian kuantitatif dengan rancangan cross sectionalÂ dan pendekatan secara prospektif. Subjek penelitian sebanyak 72 Responden dipilih menggunakan quota samplingÂ dengan instrumen penelitian kuesioner. Persentase pengetahuan dapatkan 72%, gunakan 61%, simpan 55% dan buang 50% dengan tingkat pengetahuan secara umum sebesar 59%. Hasil uji chi squareÂ pengetahuan dengan umur 0,013, pendidikan 0,000 dan pekerjaan 0,084. Tingkat pengetahuan berada pada tingkat kurang. Pendidikan dan umur berhubungan dengan pengetahuan, sedangkan pekerjaan tidak berhubungan. Perlu adanya penyuluhan dan edukasi lebih lanjut terkait Dagusibu obat untuk meningkatkan pengetahuan
Asosiasi Kepatuhan Terhadap Luaran Terapi Pada Pasien Diabetes Mellitus Tipe II Di RSUD Wirosaban Kota Yogyakarta
Authors: Wahyudi Andrey , Arifah Ningrum 
Published: March 2024

Diabetes tipe 2Â (DMT2)Â paling sering berkembang pada orang di atas usia 45Â tahun, tetapi semakin banyak anak-anak, remaja, dan dewasa muda juga mengembangkannya.Â PrevalensiÂ pasien pengidapÂ diabetes di IndonesiaÂ mencapai 6,2 persen, yang artinya ada lebih dari 10,8 juta orang menderitaÂ diabetesÂ perÂ tahun 2020.Â Data diambil pada pasien diabetes mellitus tipe II dengan komplikasi hipertensi dan/atau hiperlipidemia. Metode penelitian dengan desainÂ cross sectional,Â dengan instumen penelitian menggunakan kuesionerÂ Medication Adherence Report ScaleÂ (MARS) dan catatan paremeter penyakit dari rekam medis pasien. Hasil penelitian ditemukan ada hubungan langsungÂ antara kepatuhan terhadap luaran terapi pada pasien diabetes komplikasi hipertensi dan/atau hiperlipidemia. Kesimpulan dari penelitian ini adalah keterlibatan aktif dan kolaboratif pasien dengan penyedia layanan kesehatan bekerja samaÂ menetapkan tujuan pengobatan dan rejimen medisÂ melalui kepatuhan untuk menghasilkan luaran terapi yang optimal.Â AbstractType 2 diabetes (DMT2) most commonly develops by age 45, but a growing number of children, adolescents, and young adults are also developing it. The prevalence of patients with diabetes in Indonesia reaches 6.2 percent, meaning that there are more than 10.8 million people suffering from diabetes by the year 2020. The data were taken in patients with type II diabetes mellitus with complications of hypertension and/or hyperlipidemia. The research method is a cross sectional design, with research instruments using the Medication Adherence Report Scale (MARS) questionnaire and disease parameter records from the patient's medical record. The results showed that there was a direct relationship between adherence to therapy outcomes in patients with diabetes complications found hypertension and/or hyperlipidemia. The conclusion of this study is the active and collaborative involvement of patients with health care providers working together to set treatment goals and medical regimens through adherence to producing optimal therapeutic outcomes.Keywords: Diabetes mellitus, Adherence, Outcome of therapyÂ
Efektivitas Anti Jamur Dan Karateristik Fisik Krim Ekstrak Etanol Daun Ungu (Graptophyllum pictum (L.) Griff)
Authors: Wulandari Serfiena , Sunnah Istianatus , Furdiyanti Nova Hasani 
Published: March 2024

Daun ungu (Graptophyllum pictum (L.) Griff) oleh masyarakatÂ dimanfaatkan untuk pengobatan wasir, antiinflamasi, antijamur, penyakit kulit maupun obat luka. Daun ungu memiliki kandungan flavonoid, alkaloid, saponin yang dapat digunakanÂ antijamur. Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Penelitian ini dilakukan Â untuk mengevaluasi Â krim ekstrak etanol daun ungu (Graptophyllum pictum (L.) Griff)Â memiliki aktivitas antijamur terhadap Tinea versicolor dan karakterisitik Â fisik serta stabilitas Â formulasi krim antijamurÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â . Metode pembuatan ekstrak dilakukan dengan cara maserasi menggunakan etanol 70 %. Ekstrak kemudian diformulasi dalam sediaan Â krim dengan konsentrasi 12,5 % dan 25 % kemudian diuji Â efektifitas antijamur serta karakteristik Â fisiknya. Hasil penelitian diperoleh krim ekstrak etanol daun ungu dalam konsentrasi 12,5 % dan 25 % memiliki aktivitas anti jamur Tinea versicolor dengan rata-rata diameter hambatan untuk konsentrasi 12,5% antara 10,37- 12,13 mm dan untuk konsentrasi 25% memiliki diameter za hambat 13,0 -13,57 mm. Ekstrak etanol daun ungu mengandung alkaloid, tanin , flavonoid, dan saponin. pH sediaan krim antara 7,04-7,48, viskositas 2781-4008 cps, daya lekat 1,25-1,55 detik dan daya sebar 2,40-2,80 cm. Uji sentrifugasi mengalami pemisahanKrim ekstrak etanol daun ungu (Graptophyllum pictum (L.) Griff) memiliki efektivitas Â sebagai antijamur terhadap Tinea versicolor. Krim ekstrak etanol daun ungu (Graptophyllum pictum (L.) Griff) memiliki stabilitas fisik yang kurang baik.