bluuebunny/crossref_metadata_2025_split huggingface dataset:
Kepatuhan Minum Obat Kelasi Besi, Konsumsi Sumber Protein Serta Zat Besi Melalui Pendampingan Individu Pada Pasien Anak Thalasemia Mayor (Case Series) (Studi Di Kota Banjarbaru Dan Sekitarnya)
Authors: Heldawati Heldawati , Abdurrachim Rijanti , Mahpolah Mahpolah 
Published: December 2023

Terapi yang diberikan pada pasien Thalasemia dengan tranfusi secara reguler adalah kelasi besi. Ketidak patuhan dalam mengonsumsi obat secara rutin salah satunya adalah kurangnya pemahaman terhadap pentingnya obat. Tujuan: mengetahui kepatuhan minum obat kelasi besi, konsumsi sumber protein serta zat besi melalui pendampingan individu pada pasien anak thalassemia mayor di kota Banjarbaru dan sekitarnya. Metode: Penelitian observasional dekskriptif dengan desain case series pasien thalasemia mayor usia 5-18 tahun, bertempat tinggal di kota Banjarbaru dan sekitarnya yang mendapatkan terapi kelasi besi. Pengambilan sampel menggunakan total sampling dengan 6 Kasus. Variabel yang diteliti adalah kepatuhan minum obat kelasi besi, konsumsi sumber protein serta zat besi. Cara pengumpulan data dengan teknik wawancara menggunakan kuesioner. Analisis data menggunakan analisis univariat, secara deskriptif secara series dan mendalam. Hasil: Diperoleh 6 pasien thalasemia dengan 50% pasien berusia 6-9 tahun, 66,7% pasien berjenis kelamin laki-laki, 66,7% status gizi pasien normal, 50% anak berpendidikan SD/sederajat, 66,7% ibu dan 50% ayah pasien berpendidikan SMP dan SMA/sederajat. Kepatuhan minum obat kelasi besi pada pretest pada kategori tingkat rendah (66.7%) dan posttest pada kategori tingkat rendah (66.7%). Konsumsi sumber protein saat pretest pada kategori sering (66.7%) dan posttest pada kategori sering (66.7%). Konsumsi sumber zat besi pasien saat pretest pada kategori sering (66.7%) dan posttest pada kategori jarang (66.7%).
Kata Kunci: Kelasi Besi, Protein; Zat Besi; Thalasemia Mayor.
Clinical types and possible etiologies of neonatal seizures: A hospital based study
Authors: AL-Naddawi Mahjoob N. , Hameed Numan N. , Kadum Meisloon J. 
Published: December 2023

Background: Seizures in the neonatal period are common. They can present as focal clonic, focal tonic, myoclonic, generalized tonic and subtle seizures. They can be caused by a variety ofconditions, ranging from benign self-limited illnesses to severe life-threatening disorders.Patients and methods: A prospective study included 75 neonates with seizures in the first 28 days of life were admitted to neonatal care unit in Children Welfare Teaching Hospital from January 15th 2009 to August 15th 2009. A Full history was obtained and patients were examined by a specialist in the neonatal care unit and the researcher. Laboratory investigations and neuroimaging studies were done for all patients.Results: Out of 75 neonates, (55%) were males and (45%) were females with a male: female ratio of 1.2:1, (76%) of them was delivered at term. The onset of seizures was reported in the first 72 hours of life in (42.6%) of neonates. The most common type of seizure was tonic type (48%) followed by subtle type (24%), focal clonic 16% and multifocal clonic (12%). Hypoxic ischemic encephalopathy (HIE) was the commonest etiology (25.34%) then sepsis (24%), hypocalcaemia (14.67%), pyogenic meningitis (13.33%), hypoglycemia (9.33%), Kernicetrus (8%), IVH 4% and TORCH (1.33%).The consanguinity was detected in (26.7%) of patients. A response to Phenobarbitone alone was found in (42.1%) and to a combination of both phenobarbitone and phenytoin in (19.1%). The case fatality was (8%), (50%) of them were due to IVH.Conclusions: Neonatal seizures occurred mainly in full term neonates with male sex preponderance with the majority reported in their first 72 hours of life and the tonic seizures were the commonest pattern. Hypoxic ischemic encephalopathy is the main etiologic factor of neonatal seizures followed by sepsis. Intraventricular hemorrhage occurs mainly in preterm infants and it was a major cause of death.
The effect of fasting in Ramadan on patients with heart disease
Authors: Awad Abdul ameer J. 
Published: December 2023

Background: Knowledge about the clinical problems during the fast of Ramadan is important in order to opens the way to further research aimed at discovering the significance of Ramadan fasting in patients with heart disease.Patients and Methods: Eighty-six outpatients with heart disease with intention to fast were studied in the month of Ramadan 2010 (1430 H) at the Ibn Al-bitar Hospital. Detailed clinical and biochemical assessments were performed within 3 days before the start of Ramadan and then on the last day of Ramadan.Results: There were 54 (62.8%) males and 32 (37.2%) females with a mean age of 56.3 years (range, 17-84 ). Forty-six patients (53%) had coronary artery disease, 23 patients (27%) had valvular heart disease, 13 patients (15%) had congestive heart failure and 4 patients (5%) were treated for arrhythmia. Sixty-two patients (72%) were in New York Heart Association (NYHA) Class I, 18 patients (21%) in Class II, and 6 patients (7%) were in Class III. Seventy-four patients (86%) managed to fast during the entire Ramadan, 9 patients (10.4%) missed the fasting for up to 7 days, and 3 patients (3.5%) could not fast. There were no significant changes in the NYHA Class (p=0.12). No significant changes occurred in any of the hematological or biochemical parameters during the fasting of Ramadan.Conclusion: The effects of fasting during Ramadan on stable patients with cardiac disease are minimal. The majority of patients with stable cardiac disease can fast during Ramadan without significant detrimental effects.
Varus/valgus stability in imageless robotic-assisted total knee arthroplasty applying three-dimensional assessment of varus/valgus stress X-rays
Authors: Hijikata Hiroki , Mochizuki Tomoharu , Maeda Keisuku , Tanifuji Osamu , Omori Go , Yamamoto Noriaki , Kawashima Hiroyuki 
Published: December 2023

BACKGROUND: The postoperative varus/valgus stability assessment in stress X-rays has been established as an evaluation index. However, it is performed by the two-dimensional (2D) method rather than the three-dimensional (3D) method. OBJECTIVE: This study aimed to identify the precision and reproducibility of measuring varus/valgus stress X-rays three-dimensionally and to examine varus/valgus stability under anesthesia in imageless robotic assisted total knee arthroplasty (rTKA). METHODS: This prospective study analyzed 52 consecutive rTKAs (five males, 67 ± 5.3 years; 47 females, 74 ± 5.9 years). Postoperative varus/valgus stress X-rays in knee extension under anesthesia at manual maximum stress were three-dimensionally assessed by 2D–3D image matching technique using the 3D bone and component models. Varus/valgus angle between components (VV angle) in no stress, valgus stress, varus stress, medial joint opening (MJO), and lateral joint opening (LJO) were evaluated, clarifying this method’s precision and reproducibility and valgus/varus stability. RESULTS: All parameters’ precision and reproducibility had <1° mean differences and high intra- and inter-class correlation coefficients. Bland–Altman plots showed no fixed and proportional bias. Non-stress VV angle, valgus VV angle, varus VV angle, MJO, and LJO were 3.6 ± 1.2°, 1.0 ± 1.4°, 7.1 ± 1.9°, 1.5 ± 1.0 mm, and 2.8 ± 2.7 mm, respectively. CONCLUSION: This prospective study demonstrated that (1) the three-dimensional measurement method provided sufficient precision and reproducibility, and (2) the rTKAs could achieve good postoperative varus/valgus stability with a small standard deviation.
The use of blockchain technology in the scientific research workflow
Authors: Lawlor Bonnie 
Published: December 2023

This paper is based upon a lightening talk that was given on February 14, 2023 at the 2023 NISO Plus conference. The presentation described the research for the creation of a white paper on the use of blockchain technology along the scientific research workflow that will be released in early 2024 by the International Union of Pure and Applied Chemistry (IUPAC). What the three-year study found is that the technology is indeed being used in almost all the steps in the scientific research workflow - from hypothesis development through to publication - by commercial organizations as well as by non-profits and across all market sectors, even governments. For example, the U.S Department of Health and Human Services (HHS) uses blockchain technology in a pilot program, the Grant-recipient Digital Dossier (GDD), to manage their grant program more efficiently. As of July 2021, GDD had reduced the time required to complete grant assessment tasks from four-plus-hours to a fifteen-minute process. This paper briefly summarizes the findings, discusses the pros/cons of the technology, and provides a glimpse of how the technology is impacting the future of scientific research.
STUDI ANALITIS MODEL PEMBELAJARAN PAI ABAD 21 BERBASIS MULTIPLE INTELLIGENCES
Authors: Khafifatulfian Khafifatul Fian , M. Misbah  
Published: December 2023

Sulitnya peserta didik dalam memahami materi yang diajarkan pendidik, salah satunya karena ketidaktepatan pendidik dalam menerapkan model pembelajaran. Terlebih pada abad 21, pendidik dituntut untuk memanfaatkan teknologi pada kegiatan pembelajaran. Tujuan penelitian ini untuk menganalisis model pembelajaran abad 21 yaitu model pembelajaran quantum, kooperatif, dan diferensiasi dengan berbasis kepada multiple intelligences pada mata pelajaran pendidikan agama Islam. Jenis penelitian yang digunakan yaitu library research melalui teknik pengumpulan data dengan penelusuran sumber-sumber baik dari artikel, buku atau sumber lain yang relevan dengan topik pembahasan. Setelah data dikumpulkan, selanjutnya diseleksi, dianalisis berdasarkan isi atau konten, kemudian penarikan kesimpulan. Hasil penelitian menunjukkan model pembelajaran tersebut dapat meningkatkan keterampilan peserta didik khususnya untuk peningkatan kemampuan intelektual dan personal (intrapersonal) pada mata pelajaran PAI. Kedua kemampuan tersebut merupakan bagian dari 6 (enam) kecerdasan majemuk (multiple intelligences). Dengan demikian, pendidik dapat mempertimbangkan untuk mengimplementasikan model pembelajaran tersebut.
Pengaruh Intervensi Model Dukungan Sebaya Santri Husada terhadap Kemampuan Penerapan Perilaku Hidup Bersih dan Sehat Penghuni Pesantren
Authors: Resnayati Yeti , Riyanti Eska , Maryam Raden Siti 
Published: December 2023

The problems continue happened in the boarding school in life santri is fulfillment Behavior Life Clean and Healthy (PHBS) less adequate so that raises problem disease especially disease related diseases with lack of cleanliness self (personal hygiene) like disease skin and diarrhea or infection channel breathing . This Research aimi for describe influence application of the model of peer group support santri husada to ability application behavior life clean and healthy (PHBS) on occupants boarding school. The model of peer group support santri husada is an innovative approach that is important for shaping individual perceptions and behavior formation Design Research use quasi- experimental with approach design pretest-posttest control group. The sampling strategy uses Simple Random Sampling with a large sample using a test formula different two proportion so that total sample, group intervention or group control are 41 people. Data analysis is done with stages univariate and bivariate with Paired T-Test, as well as Independent T Test. Research results showed there are significant differences (p = 0.000) in knowledge, attitudes and behavior in application PHBS between group intervention and group control after do peer support model intervention in PHBS. It is hoped that the role of Islamic boarding school leaders will be in strengthening their students to carry out PHBS in their daily lives.
Reflecting on Reacting
Authors: Barber Christopher 
Published: December 2023

The Reacting to the Past (RTTP) games are a unique and innovative approach to teaching history that has been implemented in higher education institutions for over two decades. RTTP is a student-centered approach and the games are designed to encourage student engagement and interaction with the material and with peers. This pedagogy has been successful at the post-secondary level, with research suggesting improved student engagement, self-efficacy, and positive social effects. One of the strengths of RTTP games is the flexibility they offer instructors. The games can be adapted to different levels of difficulty, different class sizes, and different time frames. This flexibility makes RTTP a promising candidate to be applied to the secondary level as well. As there is currently a gap in the literature, in this article I reflect on my efforts to implement John Patrick Coby's Constitutional Convention game to the high school classroom, finding it to be a promising pedagogy worthy of further study.
Students’ Ability in Writing Procedure Text at Twelfth Grade Student of SMAN 8 Jambi
Authors: Sukarton Sukarton , Munawwaroh Khidayatul , Aisyah Siti 
Published: December 2023

The purpose of this study was to find out the ability of students in grade 12 at SMAN 8 Jambi City in writing procedural texts. A qualitative descriptive method was utilized. The population comprised students XII IPS at SMAN 8 Jambi City of academic study 2022/2023 and the sample consisted of 36 students from class XII IPS 2. Researchers used a research instrument, an essay test with a predetermined theme, namely food. Into discover these findings, tabulation was used to collect data from students' grades to categorize indicators of students written. Following the discovery of the result data, the researcher classified the student's score using the CRA (Criterion-Referenced Assessment) scale. According to the findings of the research, indicators of students' writing abilities, namely goals (83.3325) and materials (90.2775), have excellent an average score. On the other hand, the step indicator has into the average good criterion (77.0825). However, the overall average of all indicators is excellent (83.5641). Furthermore, students' ability in writing procedure texts are scores 83.5555 in the highest category. It is indicated that the level of students' ability writing in procedure text is excellent score, and that demonstrated score of writing procedural texts is highest.
Asuhan Kebidanan Continuity Of Care Pada Ny. F di PMB Tri Utami, S.SiT Semarang
Authors: Fatun Heni , Fitriani Ardhita Listya 
Published: December 2023

Latar belakang: Berdasarkan hasil survei di PMB Tri Utami,S.SiT ditemukan data ibu nifas yang mengalami pengeluaran ASI kurang lancar sebanyak 15 ibu nifas. Tujuan: pemberian asuhan berkelanjutan mulai dari kehamilan Trimester I hingga masa nifas. Metode: menggunakan studi kasus yaitu observasional deskriptif mulai november 2023 sampai juli 2023. Hasil: produksi ASI pada masa nifas pada Ny. F sangat sedikit dan punggung terasa tidak nyaman saat melahirkan. Oleh karena itu, Ny. F dilakukan pemijattan oksitosin dan pijat endorphine, yaitu kombinasi dari kedua pijatan ini memiliki pengaruh signifikasi pada proses involusi uteri (proses pengembalian uterus kembali normal) , memperlancar dan memperbanyak produksi ASI, membuat ibu lebih rileks dan nyaman, menganjurkan ibu untuk melakukan pijatan setiap hari saat ingin menyusui atau saat ibu merasa kelelahan selama 5-10 menit setiap sesinya. Kesimpulan:Asuhan kebidanan yangdiberikan secara berkeanjutan dengan pijat oksitosin selama 10 menit pada ibu nifas produksi ASI mengalami peningkatan ASI.
HUBUNGAN ANTARA INDEKS MASSA TUBUH DAN PROFIL LIPID PADA KARYAWAN OBESITAS DI RUMAH SAKIT SUMBER WARAS
Authors: Rantih Dinda kemala , Purnamasari Endah 
Published: December 2023

Latar Belakang: Obesitas merupakan kelainan metabolisme yang dipengaruhi oleh gaya hidup masyarakat yang sering mengkonsumsi makanan tinggi kolesterol. Indeks Massa Tubuh (IMT) merupakan pengukuran antropometri yang menjadi parameter penting dalam menentukan kriteria proporsi tubuh seseorang dengan menghitung perbandingan tinggi badan dan berat badan seseorang. Pada obesitas, IMT seseorang cenderung lebih meningkat dibandingkan non obesitas. Obesitas sering dikaitkan dengan kadar profil lipid seseorang. Profil lipid adalah gambaran kadar lipid dalam darah. Terdiri dari kolesterol total, Low density lipoprotein (LDL), High-density lipoprotein (HDL) dan Trigliserida (TG).Metode: Penelitian ini berdasarkan cara pengumpulan data dan merupakan penelitian observasional dilakukan secara cross sectional dengan mengolah data primer. Populasi dan sampel adalah karyawan rumah sakit sumber waras yang memiliki indeks massa tubuh >25. Besar sampel yang digunakan pada penelitian ini menggunakan total sampling. Pengambilan data dilakukan dengan pengukuran berat badan dan tinggi badan karyawan secara langsung serta dilakukan pemeriksaan lab untuk melihat kadar profil lipid pada penderita obesitas. Analisis data dengan pada pasien obesitas menggunakan SPSS dengan metode korelasi Pearson untuk melihat hubungan Indeks Massa Tubuh dan Profil Lipid.Hasil: Pada penelitian ini, Kadar profil lipid penderita obesitas didapatkan bahwa kolesterol total didominasi oleh pasien yang memiliki kolesterol optimal (70%), kemudian untuk kolesterol LDL didominasi oleh pasien yang memiliki kolesterol LDL optimal (40%), kolesterol HDL didominasi oleh pasien yang memiliki kolesterol HDL diinginkan (60%) dan untuk trigliserida didominasi oleh pasien yang memiliki trigliserida optimal (87%). Pada analisa data menggunakan korelasi Pearson didapatkan p-value dari indeks massa tubuh dengan kolesterol total sebesar 0.424 dengan r-value 0,151, nilai p-value LDL sebesar 0.136 dengan r-value 0,279, nilai p-value HDL sebesar 0.955 dengan r-value 0,011 dan nilai p-value trigliserida sebesar 0.890 dengan r-value 0,026.Simpulan: Pada penderita obesitas didapatkan tidak adanya korelasi atau hubungan yang bermakna antara indeks massa tubuh dengan kolesterol tubuh, LDL, HDl dan trigliserida.
Synthesis of a novel photochemical and thermoresponsive diblock biomaterial with end-functionalized zinc porphyrin
Authors: Qiu Nannan , Pan Xinyuan , Hu Ruizhang , Hui Zhenzhen 
Published: December 2023

Porphyrin compound-based photochemical molecules and biomaterials have been synthesized for photosensitivity and bioimaging experiments. However, most porphyrin photosensitizers have limited application in biological environments owing to severe aggregation in aqueous solutions. In the present study, we prepared amphipathic and photosensitive copolymers using zinc porphyrin via consecutive atom transfer-free radical polymerizations (ATRPs) comprising photoresponsive and thermosensitive chain segments. Furthermore, we evaluated the photocatalytic activity of the copolymer for methylene blue (MB) in water.Methods: First, we synthesized a photoresponsive ain segment of poly (6-[4-(4-methoxyphenylazo)phenoxy]hexyl methacrylate) (ZnPor-PAzo); then, ZnPor-PAzo was used as a macroinitiator and was polymerized with N-isopropylacrylamide (NIPAM) via ATRPs to obtain a novel photochemical and thermoresponsive diblock biomaterial with end-functionalized zinc porphyrin [(ZnPor-PAzo)–PNIPAMs].Results: The polydispersity index (Mw/Mn) of (ZnPor-PAzo)–PNIPAMs was 1.19–1.32. Furthermore, its photoresponsive and thermosensitive characteristics were comprehensively studied.Discussion: The end-functionalized diblock copolymer (ZnPor-PAzo)–PNIPAM exhibits obvious fluorescence and efficient photocatalytic activity for aqueous MB under visible light.
Fetal cardiac magnetic resonance imaging of the descending aorta in suspected left-sided cardiac obstructions
Authors: Fricke Katrin , Ryd Daniel , Weismann Constance G. , Hanséus Katarina , Hedström Erik , Liuba Petru 
Published: December 2023

BackgroundSevere left-sided cardiac obstructions are associated with high morbidity and mortality if not detected in time. The correct prenatal diagnosis of coarctation of the aorta (CoA) is difficult. Fetal cardiac magnetic resonance imaging (CMR) may improve the prenatal diagnosis of complex congenital heart defects. Flow measurements in the ascending aorta could aid in predicting postnatal CoA, but its accurate visualization is challenging.ObjectivesTo compare the flow in the descending aorta (DAo) and umbilical vein (UV) in fetuses with suspected left-sided cardiac obstructions with and without the need for postnatal intervention and healthy controls by fetal phase-contrast CMR flow. A second objective was to determine if adding fetal CMR to echocardiography (echo) improves the fetal CoA diagnosis.MethodsProspective fetal CMR phase-contrast flow in the DAo and UV and echo studies were conducted between 2017 and 2022.ResultsA total of 46 fetuses with suspected left-sided cardiac obstructions [11 hypoplastic left heart syndrome (HLHS), five critical aortic stenosis (cAS), and 30 CoA] and five controls were included. Neonatal interventions for left-sided cardiac obstructions (n = 23) or comfort care (n = 1 with HLHS) were pursued in all 16 fetuses with suspected HLHS or cAS and in eight (27%) fetuses with true CoA. DAo or UV flow was not different in fetuses with and without need of intervention. However, DAo and UV flows were lower in fetuses with either retrograde isthmic systolic flow [DAo flow 253 (72) vs. 261 (97) ml/kg/min, p = 0.035; UV flow 113 (75) vs. 161 (81) ml/kg/min, p = 0.04] or with suspected CoA and restrictive atrial septum [DAo flow 200 (71) vs. 268 (94) ml/kg/min, p = 0.04; UV flow 89 vs. 159 (76) ml/kg/min, p = 0.04] as well as in those without these changes. Adding fetal CMR to fetal echo predictors for postnatal CoA did not improve the diagnosis of CoA.ConclusionFetal CMR-derived DAo and UV flow measurements do not improve the prenatal diagnosis of left-sided cardiac obstructions, but they could be important in identifying fetuses with a more severe decrease in blood flow across the left side of the heart. The physiological explanation may be a markedly decreased left ventricular cardiac output with subsequent retrograde systolic isthmic flow and decreased total DAo flow.