bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence and determinants of developmental delay among children in low- and middle-income countries: a systematic review and meta-analysis
Authors: Wondmagegn Tesfaye , Girma Bekahegn , Habtemariam Yosef 
Published: April 2024

BackgroundDevelopmental delay is a public health problem in low- and middle-income countries. However, there is no summarized evidence in low- and middle-income countries on developmental delay, and primary studies on this issue show varied and inconclusive results. This systematic review and meta-analysis aimed to assess the pooled magnitude of confirmed developmental delay and its determinants among children in low- and middle-income countries.MethodsWe followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines to write this systematic review and meta-analysis. Primary studies were searched from PubMed, PsycINFO, Hinari, Science Direct, African Journal of Online, Web of Science, and Google Scholar databases. The Newcastle–Ottawa Scale, adapted for the cross-sectional studies, was used to assess the quality of the included studies. Heterogeneity and publication bias were assessed by the I2 and Eggers tests, respectively. Due to the high heterogeneity, the random effects model was used for analysis. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to show the association between developmental delay and its determinants.ResultsThe pooled prevalence of confirmed developmental delay was 18.83, 95% CI (15.53–22.12). In the subgroup analysis, a high prevalence of developmental delay [26.69% (95% CI, 15.78–37.60)] was observed in studies performed in Africa. Maternal education [3.04; 95% CI (2.05, 4.52)] and low birth weight [3.61; 95% CI (1.72, 7.57)] were significant determinants of developmental delay.ConclusionThe pooled prevalence of developmental delay in low- and middle-income countries was high as compared to that in high-income countries. Maternal education level and weight at birth were significantly associated with developmental delays. Therefore, strategies should be designed to decrease the rate of low birth weight and the number of illiterate mothers living in low- and middle-income countries.Systematic review registrationPROSPERO, CRD42024513060.
Hispanic worker attitudes toward pig euthanasia on U.S. farms
Authors: Acevedo León Nancy F. , Jaramillo Pablo Lamino , Gabela Carlos Durán , Boren-Alpízar Amy , Andrukonis Allison , Schmidt Marcelo , McGlone John , Garcia Arlene 
Published: April 2024

IntroductionOn-farm pig euthanasia considers aspects of animal welfare and industry economics. Guidelines are available about the euthanasia process, but the agricultural workforce is highly diverse and guidelines do not consider cultural barriers. Euthanasia requires the ability to identify compromised pigs, technical skills, and willingness to euthanize pigs. In addition, timely euthanasia is part of the Common Swine Industry Audit (CSIA) and, thus, can lead to failed audits if not performed as required by the audit standards. The United States (US) swine industry employs a high percentage of Latin American workers, some US residents/citizens, and others through non-immigrant North American Free Trade Agreement (NAFTA) visas. These workers vary in their level of education and swine industry experience. Proper training of this workforce and identification of the barriers associated with performing timely euthanasia are critical to promote improved welfare practices. The objectives of this study were to: (1) develop a survey instrument to identify Hispanic caretaker attitudes toward pig euthanasia, (2) assess and describe swine caretakers’ attitudes toward pig euthanasia using the developed survey instrument, and (3) determine the demographic and psychological barriers associated with performing pig euthanasia.MethodsParticipants (n = 163) were surveyed from 16 farms across the State of Iowa. The on-farm survey was administered for two days in a period of 60 min per day.ResultsThe results for demographics and the swine management survey data indicated that employees with less time working on the farm showed less knowledge of the CSIA, lower perceived ability to identify compromised pigs that needed to be euthanized, lower willingness to pecrform euthanasia on their own, and preferred not to have the responsibility of telling others when to euthanize pigs (p &lt; 0.001). Secondary traumatic stress and transgressions were significantly correlated scales, associated with burnout, betrayals, and worker satisfaction (p = 0.022). Furthermore, individuals identifying as female had higher secondary traumatic stress scores (p = 0.026) and lower compassion satisfaction scores (p = 0.015).DiscussionThis data suggest that there are demographic, psychometric, and training-related factors correlated with Hispanic caretakers’ feelings about pig euthanasia. The results of this study could be used to further improve and develop targeted training programs for Hispanic caretakers for early identification of compromised pigs and timely euthanasia, which could benefit human well-being, animal welfare, and the swine industry audit performance.
The Quality of Winter Wheat Grain by Different Sowing Strategies and Nitrogen Fertilizer Rates: A Case Study in Northeastern Poland
Authors: Lachutta Krzysztof , Jankowski Krzysztof Józef 
Published: March 2024

The present study was undertaken to determine the effect of different sowing strategies and spring nitrogen (N) fertilizer rates on the technological quality of winter wheat (Triticum aestivum L.) grain in terms of its milling quality, protein complex quality, and enzyme activity (falling number). Winter wheat grain for laboratory analyses was produced in a small-area field experiment conducted between 2018 and 2021 in the AES in Bałcyny (53°35′46.4″ N, 19°51′19.5″ E, NE Poland). The experimental variables were (i) sowing date (early: 6 September 2018, 5 September 2019, and 3 September 2020; delayed by 14 days: 17–20 September; and delayed by 28 days: 1–4 October), (ii) sowing density (200, 300, and 400 live grains m−2), and (iii) split application of N fertilizer in spring (40 + 100, 70 + 70, and 100 + 40 kg ha−1) at BBCH stages 22–25 and 30–31, respectively. A sowing delay of 14 and 28 days increased the bulk density (by 1 and 1.5 percent points (%p), respectively), vitreousness (by 3 and 6%p, respectively), and total protein content of grain (by 1% an 2%, respectively). A sowing delay of 14 days increased grain hardness (by 5%), the flour extraction rate (by 1.4%p), and the falling number (by 3%) while also decreasing grain uniformity (by 1.9%p). In turn, a sowing delay of 28 days increased the wet gluten content of grain (+0.5–0.6%p) and improved the quality of the protein complex in the Zeleny sedimentation test (+1.5%). An increase in sowing density from 200 to 300 live grains m−2 led to a decrease in grain uniformity (by 2.6%p), the total protein content (by 1.5%), and the wet gluten content of grain (by 0.7%p). A further increase in sowing density decreased grain vitreousness (by 1.4%p). The grain of winter wheat fertilized with 40 and 100 kg N ha−1 in BBCH stages 22–25 and 30–31, respectively, was characterized by the highest hardness (64.7), vitreousness (93%), flour extraction rate (73.9%), total protein content (134 g kg−1 DM), wet gluten content (36%), and Zeleny sedimentation index (69 mL).
Experimental Study on the Forced Ventilation Safety during the Construction of a Large-Slope V-Shaped Tunnel
Authors: Yi Linghong , Wang Xiaoni , Shen Yongjiang 
Published: March 2024

The special large-slope V-shaped structure of underwater tunnels changes the ventilation characteristics during tunnel construction, making the traditional experience limited. Therefore, it is urgent to study the influence of the special structure on the safety of the air environment during construction. In this paper, a series of small-scale experiments were conducted to investigate the ventilation characteristics of V-shaped tunnels. The coupled effects of ventilation parameters (distance of duct outlet from working face L0, air velocity at the duct outlet u0) and structural characteristics (digging length Ld, slope of the uphill section θ) were considered. The extreme slope of the V-shaped tunnel of 8% was considered. The flow field and pollutant transport law were determined by using CO as a tracer in the experiments. The results show that u0 has a positive impact on the air return velocity, while Ld has a negative impact, and neither of the other two factors has a significant effect. The transport characteristics of CO in V-shaped tunnels differ from those in flat tunnels, with the former tending to cause unconventional areas of high pollutant concentrations in the horizontal sections. Furthermore, the correlations between CO concentration and distance, ventilation time, and the influence factors discussed in this paper are derived from the experimental results. The conclusions provide guidance for the construction of V-shaped tunnels to prevent air pollution in the construction environment and to improve the working conditions of laborers. Additionally, it can also enrich the ventilation experience in tunnel construction.
Improved Applicability and Diagnostic Accuracy of the Novel Spleen-Dedicated Transient Elastography Device for High-Risk Esophageal Varices
Authors: Madir Anita , Barisic Jaman Mislav , Milosevic Marko , Dinjar Kujundžić Petra , Grgurevic Ivica 
Published: March 2024

Spleen stiffness measurement (SSM) by transient elastography (TE) has been repeatedly demonstrated as the reliable way to rule out the presence of high-risk esophageal varices (HRV). We aimed to evaluate and compare novel vs. standard TE-SSM module performance in diagnosing HRV in patients with compensated advanced chronic liver disease (cACLD). This retrospective study included patients with cACLD; blood data, upper digestive endoscopy performed within 3 months of TE, SSM@50Hz and SSM@100Hz were collected. Overall, 112 patients with cACLD were analyzed (75.9% males, average age of 66, 43.7% alcohol-related chronic liver disease, 22.3% metabolic-associated steatotic liver disease, 6.2% viral hepatitis). Reliable SSM was possible in 80.3% and 93.8% of patients by using SSM@50Hz and SSM@100Hz probe, respectively. At the cut-off 41.8 kPa and 40.9 kPa (Youden), SSM@50Hz and SSM@100Hz had AUROCs of 0.746 and 0.752, respectively, for diagnosing HRV (p = 0.71). At the respective cut-offs, sensitivities for HRV were 92.9% and 100%, resulting in misclassification rates of 7.1% and 0% by using SSM@50Hz and SSM@100Hz. SSM reliably excludes HRV in cACLD patients, with measurements below 41 kPa potentially avoiding EGD in around 50% of cases, with minimal risk of HRV omission. SSM@100Hz demonstrated less measurement failures and no HRV misclassification.
Characteristics of Soil Particle Sizes and Fractal Parameters under Different Plantation Types of Populus alba
Authors: Li Haonian , Meng Zhongju , Ren Xiaomen , Chen Xiaoyan 
Published: March 2024

Vegetation plays a leading role in restoring desert ecosystems and increasing productivity. In this study, we elucidate the improvement effects of different restoration areas of Populus alba on the soil particle distribution, sedimentation environment, and fractal characteristics. We selected the restoration areas of P. alba × Caragana korshinskii (YN), P. alba × Hedysarum leave (YY), and P. alba × Hedysarum scoparium (YH), which have a history of twenty-one years. We analyzed the soil nutrients, soil particle size, soil particle size parameters, soil fractal dimension (D) values, and soil multifractal parameters at soil depths of 0–80 cm. We found that the YN, YY, and YH significantly increased the soil nutrients and soil fine particles (p < 0.05) and changed the deposition pattern of the soil particles in the sandy area. The YN, YY, and YH promote soil particle refinement and reduce the sorting performance of the soil particles. The vegetation promotes extremely positive-skewed and very leptokurtic soil particle distributions. The D values in the YN, YY, and YH restoration areas increased by 7.62%–27.94%, 7.36%–26.28%, and 7.10%–17.92%, respectively, relative to those of the LS. The construction of the different restoration areas of P. alba has made the distribution of the soil particles nonuniform. Compared with the YY and YH plantations, the distribution range of the soil particles in the YN plantation is wider, and the distribution heterogeneity is greater. In addition, we found that the fractal parameters are influenced by the soil physicochemical properties, the depositional environment, and vegetation factors. Therefore, we believe that D values and multifractal parameters are necessary as additional information for desert soil texture improvement. The results of this study provide a scientific and theoretical basis for the future revegetation of deserts.
Pengaruh inisiasi menyusui dini terhadap pencegahan hipotermia pada bayi baru lahir
Authors: Arhamnah Siti , Noviani Fadilah Lola 
Published: March 2024

Latar Belakang : Hipotermia merupakan salah satu penyebab mortalitas dan morbiditas pada bayi baru lahir. IMD merupakan intervensi sederhana yang mampu meningkatkan neonatal outcome secara signifikan yaitu mengurangi risiko kematian neonatal, meningkatkan ikatan kasih sayang, meningkatkan durasi menyusui, menstabilkan suhu tubuh, menstabilkan pernafasan, nadi serta glukosa darah bayi.Tujuan : Mengetahui apakah inisiasi menyusui dini berpengaruhterhadap pencegahan hipotermi pada bayi baru lahir di puskesmas cipamokolan.Metode : Penelitian ini menggunakan metode berdasarkan evidence based case report. Yaitu penelitian yang dilakukan berdasarkan pada penelusuran literatur di beberapa artikel. Artikel yang digunakan dia mbil dari beberapa sumber yaitu google scoolar, cochrane dan Pubmed. Kemudian evidance based di lakukan langsung pada kasus yang terjadi di Puskesmas Cipamokolan.Hasil : Setelah dilakukan telaah pada 3 jurnal didapatkan hasil bahwa Inisiasi menyusui dini dapat dijadikan sebagai pencegahan hipotermi pada bayi baru lahir. Inisiasi menyusui dini dapat meningkatkan suhu tubuh bayi baru lahir. Setelah dilakukan pada kasus didapakan bahwa bayi Ny R mengalami kenaikan suhu tubuh sebesar 0,1 o C dan bayi tidak mengalami hepotermi.
ASUHAN KEBIDANAN PADA NY. O USIA 22 TAHUN G2P1A0 DENGAN EMESIS GRAVIDARUM DI PRAKTIK MANDIRI BIDAN J KOTA BOGOR
Authors: Ramadhani Dea Novia , Dian Ekayanti Ni Wayan 
Published: March 2024

Emesis gravidarum adalah mual muntah yang biasanya dialami oleh ibu hamil trimester pertama. Mual biasanya terjadi pada pagi hari (morning sickness) tetapi ada yang malam hari dengan frekuensi mual muntah 1-2x/hari. Mual dan muntah disebabkan oleh adanya peningkatan hormon estrogen dan progesteron serta hormon human chorionic gonadotropin (hCG). Kondisi ini biasanya hilang setelah kehamilan berumur 3 bulan, namun jika tidak ditangani dengan baik dan keadaan ibu menjadi lebih buruk dapat berlanjut menjadi hiperemesis gravidarum.
Tujuan penyusunan Laporan Tugas Akhir ini untuk melakukan Asuhan Kebidanan pada Ny.O usia 22 tahun G2P1A0 dengan emesis gravidarum di Praktik Mandiri Bidan J Kota Bogor. Metode yang digunakan adalah laporan kasus dengan teknik pengumpulan data melalui wawancara, pemeriksaan fisik, observasi, studi dokumentasi, dan studi literatur.
Hasil pengkajian data subjektif diperoleh Ny.O usia 22 tahun hamil anak ke-2, tidak pernah mengalami keguguran. HPHT: 25-12-2022, mengeluh mual muntah frekuensi 1-2x perhari pada saat pagi hari sejak 2 minggu yang lalu, nafsu makan menurun namun tidak mengganggu aktivitas. Data objektif diperoleh keadaan umum baik, tanda vital dalam batas normal, berat badan tetap dan tidak ditemukan tanda dehidrasi. Analisa yang ditegakkan Ny O usia 22 tahun G2P1A0 usia kehamilan 8 minggu dengan emesis gravidarum. Penatalaksanaan yang dilakukan dengan pemberian edukasi mengenai cara mengurangi mual muntah dan pemberian dukungan psikologis dalam menghadapi kehamilan.
Kesimpulan hasil asuhan yaitu keluhan mual muntah pada dapat tertangani dengan baik. Hal ini terlihat dari keluhan yang sudah tidak dirasakan pada pertemuan selanjutnya. Adapun saran yang diberikan kepada ibu dan keluarga untuk tetap melanjutkan anjuran yang telah diberikan.
EVIDENCE BASED CASE REPORT (EBCR) : PENGGUNAAN KASSA KERING STERIL PADA PERAWATAN TALI PUSAT TERHADAP BAYI BARU LAHIR
Authors: Febrina Gebby , Ferina Ferina 
Published: March 2024

Latar Belakang: Perawatan tali pusat pada bayi baru lahir merupakan suatu hal penting untuk diperhatikan karena ikatan yang kurang kuat/longgar atau tidak tepat dapat menyebabkan bahaya pada bayi. Lepasnya ikatan pada tali pusat memicu terjadinya perdarahan. Alat untuk mengikat tali pusat dapat berupa benang disinfeksi tingkat tinggi atau dapat menggunakan klem plastik tali pusat (umbilical cord). Tujuan: untuk mengetahui pengaruh teknik terkait perawatan tali pusat dapat berpengaruh terhadap waktu lamanya pelepasan tali pusat pada bayi. Beberapa metode dapat diaplikasikan dalam perawatan tali pusat yakni metode kassa steril dan kassa alkohol. Me t od e : Dalam penerapan Evidance Based Case Report ini terkait perawatan luka tali pusat terlaksana dengan baik. Ibu mampu kooperatif dalam tata laksana perawatan tali pusat yang menggunakan metode kassa kering steril dan kasa alkohol. Hasil: Kesimpulan: Hasil studi pada kasus ini memperlihatkan bahwa perawatan tali pusat melalui penggunaan kassa steril membutuhkan waktu lebih singkat sampai tali pusat puput dibandingkan dengan perawatan tali pusat menggunakan kassa alkohol.
EVIDENCE BASED CASE REPORT (EBCR): PENGARUH PIJAT BAYI TERHADAP KUALITAS TIDUR BAYI USIA 3-6 BULAN
Authors: Palentari Lizia , Widaningsih Neneng 
Published: March 2024

Latar Belakang: Masa prenatal hingga balita disebut juga sebagai periode emas, karena pada masa inilah otak mulai berkembang. Rangsangan atau stimulasi dapat mempengaruhi bagaimana bayi tumbuh dan berkembang dalam berbagai cara. Pijat bayi merupakan salah satu bentuk stimulasi taktil pada bayi. Stimulasi taktil termasuk kedalam hal yang paling penting dalam perkembangan. Berbagai penelitian mengenai manfaat dari pijat bayi menunjukkan hasil bahwa Pijat bayi dapat membantu bayi tidur lebih nyenyak, memperkuat ikatan antara orang tua dan anak, meningkatkan jumlah produksi ASI, dan juga dapat meningkatkan daya tahan tubuh, konsentrasi serta berat badan.Tujuan: EBCR ini bertujuan untuk mengetahui pengaruh dari pijat bayi terhadap kualitas tidur bayi usia 3-6 bulan. Metode: Metode dalam jurnal ini ialah Evidence Based Case Report. Pencarian jurnal dilakukan pada portal Google Scholar dan Portal Garuda dengan tahun terbit 2019. Kriteria inklusi dalam penelusuran jurnal ialah artikel full text, dalam Bahasa inggris ataupun Bahasa Indonesia, ditemukan 2 jurnal yang sesuai dan digunakana dalam penulisan EBCR ini. Hasil: Hasil dari EBCR ini menunjukan pengaplikasian pijat bayi dapat membuat kualitas serta kuantitas tidur bayi menjadi lebih baik serta mempereat ikatan kasih sayang antara ibu dan bayi. Simpulan: Pijat bayi dapat meningkatkan kualitas tidur pada bayi usia 3-6 bulan
STABILISASI SUHU TUBUH BBLR DENGAN METODE KANGGURU: EVIDENCE BASED CASE REPORT (EBCR)
Authors: Sari Agustin Cindy , Ferina Ferina 
Published: March 2024

Latar belakang: Standar kualitas hidup seseorang dapat ditingkatklan dengan memperhatikan kesejahteraan ibu salah satunya yaitu kesehatan yang bisa dimulai sedini mungkin sejak janin mulai berkembang di dalam rahim. Tujuan: penelitian ini untuk menjaga kestabilitasan suhu tubuh pada BBLR. Metode: Evidence based case report (EBCR), menggunakan penelusuran literatur di beberapa artikel, adalah PubMed dan Google Scholer. Dalam penelusuran jurnal E-Data based dibatasi pada publikasi 10 tahun, yaitu dalam rentang 2012 sampai dengan publikasi terbaru tahun 2022. Kriteria inklusi dan eksklusi artikel yaitu, penelusuran jurnal pada E-Data based, dalam sepuluh tahun terakhir (2012-2022), full-text, desain penelitian adalah clinical trial, dalam bahasa Inggris atau Indonesia. Hasil: pengukuran suhu tubuh 35,5 °C sebelum diberikan intervensi. Sedangkan setelah diberikan intervensi selama 60 menit, didapatkan hasil suhu tubuh bayi 37,0 °C. Kesimpulan: Metode kangguru menjadi alternatif alami stabilisasi suhu tubuh BBLR yang berisiko hipotermi.
EFEKTIVITAS LATIHAN KEGEL TERHADAP PENINGKATAN KEPUASAN SEKSUAL PADA AKSEPTOR KB DMPA
Authors: Yanti Yulidar , Sriwenda Djudju 
Published: March 2024

Latar Belakang: Kontrasepsi suntikan progestin merupakan salah satu pilihan kontrasepsi hormonal yang luas dan popular penggunaannya. Penggunaan kontrasepsi suntik progestin dalam jangka panjang menimbulkan keluhan penurunan gairah seksual, hal ini disebabkan tingginya kadar progestin sehingga vagina mengering dan nyeri saat senggama. Tujuan: Untuk mengetahui efektifitas latihan Kegel terhadap peningkatan kepuasan seksual pada akseptor suntik DMPA. Metode: Metode penelitian dirancang dengan quasi eksperimen menggunakan pendekatan one group pre and posttest design. Penelitian dilaksanakan di Wilayah Puskesmas Sukapakir dan Babakan Tarogong Kota Bandung. Jumlah sampel sebanyak 20 responden. Respoden diminta melakukan latihan Kegel 2 kali sehari selama 2 minggu. Analisis data dengan uji Wilcoxon. Hasil: Terdapat perbedaan bermakna kepuasan seksual sebelum dan setelah diberikan latihan Kegel dengan p value < 0,05. Simpulan: Latihan Kegel secara teratur dapat direkomendasikan untuk meningkatkan kepuasan seksual pada akseptor DMPA.
COUNTER PRESSURE UNTUK MENGURANGI RASA NYERI PERSALINAN (EVIDENCE BASED CASE REPORT)
Authors: Setia Dwi Rusmilia Dea , Indrayani Diyan 
Published: March 2024

Nyeri persalinan merupakan kondisi fisiologis yang akan dialami oleh hampir semua ibu yang akan melahirkan. Rasa nyeri persalinan dapat berkurang bila dilakukan dengan teknik counter pressure yakni dengan menekan tulang sakrum dan massage abdominal. Teknik ini merupakan salah satu pengurangan rasa nyeri persalinan non farmakologi yang dilakukan pada ibu dalam persalinan. Tujuan dari penelitian ini adalah untuk mengetahui efektifitas teknik counter pressure terhadap pengurangan rasa nyeri persalinan. Penelitian ini dilakukan dengan cara menelusuri portal GARUDA, Pubmed, Science direct, The Cochrane Library à pada tanggal 28 Maret 2022 dengan menggunakan kata kunci Teknik Counter-Pressure AND Kala 1 AND Nyeri persalinan, Massage Counter-Pressure AND pain labour, diperoleh sebanyak 50 artikel dan dilakukan seleksi melalui inklunsi sesuai dengan pertanyaan klinis yang menggunakan full text yang dibatasi kurun waktu 5 tahun kebelakang. Setelah ditelaah menggunakan metode VIA di dapatkan 3 artikel jurnal yang memenuhi kriteria. Hasil dari tinjauan jurnal mengenai counter pressure adalah selama ibu mengalami kontraksi dengan tehnik pijatan tulang sakrum dapat mengurangi psikologis dalam persepsi nyeri, sehingga dapat dimengerti bahwa nyeri dapat dikontrol oleh manipulasi non farmakologis maupun intervensi psikologis. Dapat disimpulkan bahwa counter pressure dapat mengurangi rasa nyeri pada ibu bersalin.