bluuebunny/crossref_metadata_2025_split huggingface dataset:
A dose–response study of resistance exercise training for brain-derived neurotrophic factor in people with type 2 diabetes mellitus: Study protocol for a randomized controlled trial
Authors: Parveen Sarah , Azharuddin Muhammad , Sehgal Chhavi Arora , Usmani Maria , Noohu Majumi M 
Published: December 2023

Abstract

Background:
Low brain-derived neurotrophic factor (BDNF) has been reported in people with type 2 diabetes mellitus (T2DM). Resistance exercise improves levels of BDNF in T2DM; however, it is unknown what amount of exercise intensity will alter its therapeutic effects. The present study aims to investigate the effect of different doses of resistance exercise intensity on BDNF in people with T2DM.

Methods and Outcome Assessments:
The study will recruit 106 T2DM who will be randomly allocated to one of the four groups to receive resistance exercise training: Group 1 (50% of 1 repetition maximum [RM]), Group 2 (60% of 1 RM), Group 3 (70% of 1 RM), and Group 4 (control group). All the participants will be assessed for the levels of serum BDNF. The data will be checked for normal distribution, and data having non-normal distribution will be log-transformed. Baseline values between the groups will be compared, and the effect of treatment will be determined using one-way analysis of variance.

Discussion:
Despite the available research demonstrating the effectiveness of resistance exercise training on BDNF in T2DM people, there is no unequivocal exercise prescription for the same. BDNF is susceptible to regulation by exercise. Therefore, it would be interesting to investigate the optimal intensity for bringing about improvement in BDNF and its interaction with chronic exposure to different intensities of resistance exercise.
The national health service England diabetes prevention program—A narrative review
Authors: Koning Clare , Pelletier Marc , Spooner Joanne 
Published: December 2023

Abstract
The National Health Service (NHS) Diabetes Prevention Program (DPP) is a comprehensive initiative in the United Kingdom aimed at preventing type 2 diabetes (T2DM) among individuals with prediabetes. The NHS DPP emphasizes early intervention and underscores the potential for preventing or delaying T2DM. Currently, it operates since 2015 at 44 geographically defined sites, serving an estimated annual volume of 200,000 patients. This narrative review evaluates the NHS DPP. A literature search, adhering to the Participants, Concept, and Context review framework, was conducted in various databases and sources, limited to the period from 2015 to 2023. Data were categorized based on publication date, study type, program indicators, and focus areas, forming the framework for the review discussion. The review search yielded a total of 18,357 articles, of which 45 were included, with a predominant focus on program effectiveness. The NHS DPP demonstrates strengths in risk reduction and cost-effectiveness but faces challenges related to fidelity and the needs of diverse populations. The review highlights the importance of evidence-based service delivery, stakeholder engagement, and digital innovation in future DPP programs. While a centralized approach provides structure, local flexibility is essential to cater to population-specific needs. This review underscores the importance of strategic planning, political support, partnerships, and robust data collection in DPP implementation. It recommends targeting high-risk individuals, intensive lifestyle interventions, and embracing digital solutions for program delivery. Ongoing research, including analysis of long-term data and user perspectives, will further enhance the evidence base for DPP programs worldwide.
Surgical site infiltration using ketamine versus bupivacaine for postoperative analgesia following appendicectomy
Authors: Elrahman Ahmed E. A. , Refaie Bahaa M. , Ali Gehad A. , Abdelfattah Khaled A. M. 
Published: December 2023

Background
Appendicectomy is the standard surgery to remove an inflamed appendix and prevent peritonitis and other serious complication of a perforated appendix. Relieving postappendicectomy pain can help in early mobility and rehabilitation. The study compares the efficacy of using ketamine versus bupivacaine for surgical site infiltration for postoperative analgesia following appendicectomy.

Methods
We enrolled 60 patients aged between 14 and 50 with ASA status class I and II undergoing uncomplicated appendicectomy under general anesthesia. Patients were randomly divided into two equal groups where group 1 received surgical site infiltration using plain bupivacaine at the end of the operation while group 2 received surgical site infiltration using ketamine. The visual analog scale (VAS) was estimated at zero, 1, 2, 6, 12, and 24 h after surgery. The time until the first need for analgesia and the overall analgesic consumption were recorded in both groups. Any adverse effects in the recovery room were recorded. Postoperative hemodynamics were also recorded every 2 h for up to 24 h.

Results
The VAS score at 1, 2, 6, and 12 h was significantly lower in the ketamine group than in the bupivacaine group (P < 0.001). The time until the first need for analgesia was significantly prolonged in the ketamine group than in the bupivacaine group (P value < 0.001). The total ketorolac and morphine consumption in the first 24 h postoperatively was significantly lower in the ketamine group than in the bupivacaine group (P value < 0.001). Postoperative nausea and vomiting (PONV) occurred in five (16.667%) patients in the bupivacaine group and in six (20%) patients in the ketamine group.

Conclusions
Surgical site infiltration using either ketamine or bupivacaine can be used safely and efficiently to control acute postoperative pain and decrease the total consumption of systemic analgesics; however, ketamine infiltration seems superior in this field.
Diabetic patient awareness and knowledge about the relationship between blood sugar level and oral health in the Qassim region: Survey based study
Authors: Al-Saif Eatmad Ahmad , Alunazi Nadia Awadh , Alsalman Wesam Talal , Alshubrami Hamad Saleh 
Published: December 2023

Abstract

Introduction:
People with uncontrolled diabetes are at significant risk of developing several oral health-related problems. Prevention and treatment of oral diseases in diabetic patients require persistent daily self-care at home and regular dental visits.

Aim:
The aim of this was to assess the level of knowledge and attitude of diabetic patients toward oral health in the Qassim region of Saudi Arabia.

Materials and Methods:
This cross-sectional, survey, and facility-based study was conducted at the Endocrine and Diabetic Center in Buraydah, Saudi Arabia. A simple random sampling technique was used and included male and female patients and excluding those with gestational diabetes. Each patient received a questionnaire containing four domains: sociodemographic data, oral health knowledge, general health knowledge, and oral health attitude.

Results and Discussion:
Statistical Package for the Social Sciences (SPSS) ran a detailed descriptive analysis. A sample size of 173 Saudi diabetic patients participated in this study (68 [39.3%] male and 105 [60.7%] female). Surprisingly, 75.7% did not know their diabetic type, 73.4% brush their teeth at least once daily, and 87.3% have never used interdental flossing. Just 38.2% knew diabetic patients were at a higher risk of developing oral disease. Furthermore, 19.7% have had their dentists educate them about the effect of diabetes on their oral health, and only 13.3% stated that their physicians had educated them about the relationship between diabetic status and oral health. It is paramount to ensure the role of dentists and physicians in educating patients, as most of the sample was unaware of the relationship between diabetes and oral health. Furthermore, interdental flossing is essential for dental home care and periodontium health. Most diabetic patients in this sample do not floss and must be educated about its importance.

Conclusion:
Integrated dental visits for diabetic patients, in coordination with their physician, may avoid further oral and general health complications.
HAGAR YANG TERTINDAS: ANALISIS RELASI-KUASA DALAM KEJADIAN 16:1-16
Authors: Muryati Muryati 
Published: December 2023

Dasar terbentuknya relasi antara atasan dan bawahan adalah saling membutuhkan satu sama lain. Hal ini akan menciptakan iklim keharmonisan antara keduanya, jauh dari konflik. Namun, faktanya ditemukan konflik antara atasan dan bawahan yang menyebabkan kekerasan yang dilakukan atasan/majikan terhadap bawahannya. Hal ini memperlihatkan bahwa relasi adalah aspek dari kekuasaan. Kasus ini menimpa Hagar yang terekam dalam Kejadian 16:1-16. Hagar yang berstatus hamba mendapat tindak kekerasan yang dilakukan oleh majikannya yaitu Sarai. Sikap Hagar yang meremehkan Sarai karena ia mengandung memantik terjadinya kekerasan tersebut. Sarai yang tersakiti dan menderita, menggunakan otoritasnya untuk menindas Hagar. Adapun penelitian ini bertujuan untuk menganalisis keterkaitan relasi-kuasa dengan kekerasan yang dialami oleh Hagar di Kejadian 16:1-16. Metode yang digunakan adalah kualitatif berbasis studi pustaka murni dengan pendekatan sosial-kultur. Berdasarkan hasil penelitian ditemukan bahwa penyalahgunaan kekuasaan yang berdampak kekerasan pada Hagar dipicu oleh kultur yang berlaku saat itu dan emosi Sarai atas penghinaan Hagar.
Modelo de medición SERVQUAL y calidad del servicio en una institución educativa particular de Ica, 2022
Authors: Romaní-Pillpe Guillermo , Macedo-Inca Keila S. 
Published: December 2023

Objetivo. Determinar la relación que existe entre el modelo de medición SERVQUAL y la calidad del servicio en una institución educativa particular de Ica (Perú), durante el 2022. Metodos. El estudio tuvo un enfoque cuantitativo, de diseño no experimental, siendo una investigación de tipo aplicada. La poblacion fueron 31 padres. Fueron aplicados dos instrumentos: el modelo de medición SERVQUAL adaptado (22 ítems) y el de medición de la calidad del servicio (14 ítems). Resultados. Se hizo la inferencia de la hipótesis mediante la prueba no paramétrico rho de Spearman. Se obtuvo un resultado de p = 0,01 para contrastar la hipótesis general. Por consiguiente, la correlación fue significativa como para aceptar la h1 y rechazar la h0, formuladas al inicio de la investigación. Conclusión. Existe una correlación positiva muy fuerte entre el modelo de medición SERVQUAL y la calidad del servicio desde la percepción de los padres de familia de una institución particular de la provincia de Ica.
Los sistemas administrativos y su incidencia en la gestión del riesgo de desastres, Huánuco, 2022
Authors: Almirco-Benancio Jhony 
Published: December 2023

Objetivo. Determinar la incidencia de los sistemas administrativos en la gestión del riesgo de desastres en los servidores de la Dirección Regional de Salud (DIRESA), Huánuco, 2022. Métodos. Se realizó un estudio cuantitativo, explicativo, de tipo aplicado y de diseño no experimental, transeccional, correlacional-casual. La población estuvo compuesta por 381 servidores administrativos de la DIRESA Huánuco, entre nombrados y contrato administrativo de servicios (CAS), y se obtuvo una muestra probabilística de 188 servidores. La valoración fue a un nivel de confianza del 95 % y un 5 % de margen de error. Se utilizaron técnicas para la prueba de correlación rho de Spearman. El nivel de significancia establecido fue razón de r = 0,839, con un valor de p = 0,000, menor a 0,05. Resultados. Los hallazgos demostraron que las dimensiones de la variable “sistemas administrativos” guardan relación con la variable “gestión del riesgo de desastres” en: i) planeamiento estratégico, con una correlación muy fuerte (r = 0,835 y sig. 0,000), ii) gestión de recursos humanos, con una correlación muy fuerte (r = 0,769 y sig. 0,000), iii) abastecimiento, con una correlación muy fuerte (r = 0,855 y sig. 0,000), y iv) presupuesto público, con una correlación considerable (r = 0,644 y sig. 0,000). Conclusión. Los sistemas administrativos tienen una incidencia significativa en la gestión del riesgo de desastres en los servidores de la DIRESA Huánuco, evidenciándose un grado de correlación muy fuerte entre las variables a razón de r = 0,839, con un valor de significancia de p = 0,000, menor a 0,05; es decir, para mitigar los riesgos de desastres inminentes en la región de Huánuco (Perú) es fundamental la gestión oportuna de los sistemas administrativos.
Implementasi Decision Support System untuk Menentukan Ranking Nilai Produk Cold-Pressed Juice Menggunakan Metode Weighted Product pada Livera Indonesia
Authors: Lourin Nadia Speransa , Budi Akhmad 
Published: December 2023

Cold-pressed juice adalah jenis jus diproduksi melalui proses ekstraksi alami buah dan sayuran untuk mempertahankan kandungan nutrisinya secara maksimal. Livera Indonesia harus beradaptasi dan memanfaatkan teknologi digital untuk mengoptimalkan produksi. Tujuan penelitian ini adalah untuk membangun sebuah Sistem Pendukung Keputusan dalam Menentukan Nilai Produk Cold-Pressed Juice dengan Metode Weighted Product yang dapat digunakan untuk menyelesaikan permasalahan bagi pengguna yaitu memudahkan Livera Indonesia untuk mengambil keputusan dalam menentukan produksi Cold-Pressed Juice. Hasil dari penelitian ini adalah sebuah sistem pendukung keputusan berbasis website untuk melakukan penentuan nilai sebuah produk pada Livera Indonesia. Pada sistem tersebut terdapat alternatif yang diambil dari produk yang dijual, dan beberapa kriteria yang digunakan untuk pengambilan keputusan yaitu, Biaya, Cita Rasa, Jumlah Penjualan, dan Variasi. Dengan perhitungan tersebut sehingga dapat mengetahui nilai akhir tiap produk sebagai pilihan terbaik.
Implementasi Sistem Alarm Peringatan Dini untuk Mendeteksi Banjir di Desa Tongute Ternate Berbasis Arduino Uno
Authors: Soselisa Leovander Angritan , Dasawati Elis Sondang 
Published: December 2023

Seiring waktu berjalan perkembangan sumber daya manusia yang mempunyai kemampuan, untuk mengelola sebuah informasi secara cepat serta di dukung oleh sistem dan teknologi yang semakin maju di era sekarang, yang memberikan informasi melalui internet dan jaringan seluler sehingga mempermudah aktivitas sehari-hari dengan rasa nyaman dan aman sangat di butuhkan. Banjir merupakan bencana alam yang sering terjadi di berbagai belahan dunia disebabkan oleh faktor alam, pergantian iklim seperti curah hujan yang tinggi menyebabkan air di sungai menjadi banyak sehingga meluap ke pemukiman warga setempat menjadi bencana banjir, lalu dampak kerusakan yang cukup parah pada infrastruktur dan lingkungan, seperti bencana banjir yang terjadi pada wilayah pelosok Indonesia terutama di desa Tongute Ternate.Penelitian ini mengguanakan metode kualitaitif dan kuantitatif yang menggunakan wawancara tidak terstruktur, observasi tidak langsung, studi kepustakaan, dan dokumentasi. Sebagai teknik pengumpulan data wawancara tidak terstruktur ini dari warga desa Tongute Ternate. Metode pengembangan sistem menggunakan Arduino IDE serta teknik pengukuran data mikrokontroller menggunakan sensor ultrasonik,indikator,informasi dan Arduino IDE. Sistem alarm peringatan dini untuk mendeteksi banjir di desa Tongute Ternate yang menggunakan teknologi Arduino Uno. Ini bertujuan untuk dapat memberikan informasi akan terjadinya banjir kepada warga setempat melalui indikator LED, LCD, buzzer alarm dan mengirim pesan SMS ketinggian air pada sungai Ibu sehingga warga setempat dapat dengan mudah untuk mengambil tindakan seperti evakuasi ke tempat yang aman.Penelitian ini berupa pembuatan sistem alarm peringatan dini untuk mendeteksi banjir dengan menggunakan teknologi Arduino Uno untuk mendeteksi ketinggian air di sungai Ibu desa Tongute Ternate. untuk menginformasikan tingkat bahaya banjir kepada warga sekitar. agar siap menghadapi bencana banjir dengan segera melakukan tindakan evakuasi dan melindungi barang berharganya.
Kata kunci: alarm, peringatan dini, banjir, mikrokontroller, Arduino Uno
Postpartum dönemde venöz tromboemboli risk faktörlerinin değerlendirilmesi
Authors: ŞAHİN GÜLDİKEN Zeynep Elif , ÇAYÖNÜ KAHRAMAN Neval 
Published: December 2023

Amaç: Bu çalışma hastanemizde doğum yapmış gebelerin postpartum dönemde venöz tromboemboli (VTE) risk faktörlerinin değerlendirilmesi için planlanmıştır.
Materyal ve method: Çalışma retrospektif olarak postpartum dönemdeki 92 hastanın VTE risk faktörleri; önceden varolan risk faktörleri ve gebeliğe özgü risk faktörleri adı altında değerlendirildi. Hasta dağılımı bu risk faktörlerine göre sayısı ve yüzde oranı ile hesaplandı. VTE risk faktör skorlaması ACOG’a göre düzenlenmiş ‘Venöz tromboemboli risk değerlendirme formu’ na uygun olarak değerlendirilmiştir.
Bulgular: Önceden varolan risk faktörleri içinde varolan VTE öyküsü, düşük riskli trombofili ve yüksek riskli trombofili varlığı ile ilgili hastamız yoktu. Obezitede BMI ≥ 30 olan 48 hasta ( % 41,3) mevcuttu. Gebeliğe özgü risk faktörleri içinde uzamış doğum eylemi ve ölü doğum yapan hastamız yoktu. Bu grup içinde en fazla hasta sayısı paritesi ≥ 3 olan 31 (%33,6) hastamız mevcuttu. VTE skoru 3 puan olan 36 (%39,1) hasta saptandı. VTE skoru 0 ve 1 puan olan grup lar, sırasıyla 9 (%9,7) ve 9 (%9,7), en az hasta sayısına sahipti.
Sonuç: Çalışmada postpartum dönemde VTE bağlı komplikasyon gelişmemiştir. Bu durum doğum sonrası hastalarda VTE risk faktörlerinin değerlendirilmesinin ve yönetiminin önemini bir kez daha vurgulamaktadır. VTE bağlı komplikasyonları değerlendirmek için daha çok sayıda hasta grubu olan ileri çalışmalara ihtiyaç vardır.
Museum Audio Descriptions vs. General Audio Guides
Authors: Bartolini Chiara 
Published: December 2023

The question of objectivity vs. subjectivity in audio description (AD) is still open and unresolved, even more so when considering less researched AD sub-genres, such as museum ADs. While sparse guidelines for describing artworks and cultural artefacts tend to favour neutrality, no clear consensus exists, and the limits of a factual style have already been highlighted (Hutchinson & Eardley, 2019).
By crossing the borders of Translation Studies (TS) to gain insights from Museum Studies (MS), this paper claims that the ideal of achieving absolute objectivity is problematic and that a comparison between museum ADs and other tools for the visit would be a beneficial contribution to the objectivity vs. subjectivity debate.
In light of current theories in MS, this study seeks to explore subjectivity in museum ADs (primarily addressed to visually impaired visitors) and general audio guides (AGs). Trailing previous research into subjectivity in museum ADs (Gallego, 2019), a text-focused analysis based on the appraisal theory (Martin & White, 2005) was conducted on a corpus of ADs and AGs to highlight discrepancies in terms of subjectivity between museum communicative practices aimed at different target audiences.

Lay summary
Audio description (AD) is a service addressing primarily blind and partially sighted people to provide them access to visual or audiovisual products, such as images, objects, places and films.
Whether AD should describe something objectively is still an open and unresolved question, even more so when considering less researched types of AD, such as museum ADs, which describe specimens, artefacts, and artworks that are exhibited in museums.
Few specific guidelines on how to describe artworks and cultural artefacts exist and tend to favour a neutral approach. However, no clear consensus exists, and some scholars have already highlighted the limits of a factual style.
This paper claims that the ideal of achieving absolute objectivity in museum AD is problematic and that a comparison between museum ADs and other tools for the visit, such as general audio guides, would be a beneficial contribution to this debate.
This study draws on research focusing both on audio description and museums and seeks to analyse subjectivity in museum ADs and general audio guides (AGs), which are similar texts describing museum objects for different target audiences (non-sighted and sighted visitors respectively). Trailing previous research into subjectivity in museum ADs, the analysis focuses on a collection of AD and AG texts. We have analysed them by adopting the appraisal theory to highlight differences between the two groups of texts.
Using Synthetic Data for Wheelchair Footrests Design Customization: The Kyklos 4.0 Approach
Authors: Lowin Patrick , Rebahi Yacine , Hilliger Benjamin , Zheng Bowen 
Published: December 2023

Wheelchairs are complex systems often requiring a wide range of adjustments to adapt to the various types of patients’ disabilities. They also include a series of additional elements, for example footrests, designed to keep the patient in a comfortable position. Unfortunately, most of the commercial products do not allow maintaining the position of a patient foot who has no control over his lower limbs. To address this issue, customization seems to be the appropriate solution as it enables to tailor products based on predetermined features. In (Gharra et al, 2023), we have explored the use of computer vision and AI to correctly define customized parameters of the wheelchairs’ footrests. The proposed solution is based on estimating geometric properties of real shoes contours. Although this solution was accurate to some extent, its main drawback was the small amount of data that we were able to collect. For this reason, we decided to explore another approach where shoes contours data is synthetic, and Conventional Neural Networks (CNNs) are applied. This paper discusses the synthetic data approach and compares its performance to the one described in (Gharra et al, 2023).

Received: 30 August 2023 | Revised: 22 September 2023 | Accepted: 21 November 2023

Conflicts of Interest
The authors declare that they have no conflicts of interest to this work.

Data Availability Statement
Data available on request from the corresponding author upon reasonable request.
PERANCANGAN DAN PELATIHAN SISTEM PEMBELAJARANJARAK JAUH PADA MASA PANDEMIDI SD CENDIKIA FAIHA PALEMBANG
Authors: ZAYANTI DES ALWINE , RUSTIANA DEWI NOVI , SRI KRESNAWATI ENDANG , RESTI YULIA 
Published: December 2023

Teknologi informasi saat ini berkembang dengan cepat. Hal ini ditunjukkan dengan penggunaannya dalam berbagai bidang seperti pendidikan. Pembelajaran jarak jauh sudah dilaksanakan di SD Cendikia Faiha sejak bulan Maret 2020, dengan memanfaatkan teknologi informasi. Pengembangan dan Penyempurnaan sistem pembelajaran sangat dibutuhkan, agar kegiatan pembelajaran jarak jauh dapat lebih terpantau dan terukur. Kegiatan Perancangan dan Pelatihan Pembelajaran Jarak Jauh bertujuan untuk meningkatkan pengetahuan dan ketrampilan guru-guru di SD Cendikia Faiha dalam melaksanakan pembelajaran jarak jauh. Kegiatan dilakukan dalam 3 tahap : 1. Persiapan, 2. Pelaksanaan dan 3. Evaluasi. Hasil kegiatan pelatihan ini dapat disimpulkan bahwa perancangan dan Pelatihan Sistem Pembelajaran Jarak Jauh telah memberikan memberikan peningkatan keterampilan dalam pembelajaran jarak jauh bagi guru di SD Cendikia Faiha dalam melaksanakan pembelajaran synchronous dan asynchronous yang dapat diterapkan di SD Cendikia Faiha.