bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effect of Different Fluid Therapy Methods on Hemodynamic Parameters, Blood Sugar, Blood Gases, and Blood Electrolytes in Six Months to Four Years Old Children Undergoing Surgery
Authors: Sajedi Parvin , Shafa Amir , Ashrufi Maryam 
Published: November 2023

Abstract

Background:
Considering the necessity of employing an appropriate fluid therapy for patients during the surgery to have hemodynamic stability and electrolyte balance and the lack of studies addressing children in this regard, the present study aimed at investigating the effect of different fluid therapy methods on hemodynamic parameters, blood sugar (BS), blood gases, and blood electrolytes in children undergoing surgery.

Materials and Methods:
The current clinical trial was conducted on 105 children aged 6 months to 4 years that were candidates for surgery. These patients were randomly divided into three groups undergoing intraoperative fluid therapy with 1/5-4/5 serum, Ringer’s, and 1/3-2/3 serum. The values of hemodynamic parameters, BS, serum electrolytes (sodium, potassium, and chloride), and blood gases (pH, HCO3, and BE) were evaluated and compared among the three groups.

Results:
The level of BS at the end of the surgery in Ringer’s group with mean 166.20 ± 39.46 mg/dl was significantly lower than its level in the other two groups (1/5-4/5 serum: 241.00 ± 51.11 and 1/3-2/3 serum: 189.20 ± 34.23; P value < 0.05). Moreover, pH, HCO3, and BE at the end of the surgery had significant differences between the three groups (P value < 0.05). The amount of urine output at all follow-up times revealed a significant difference between Ringer’s group and the other two groups (P value < 0.001).

Conclusion:
Use of Ringer’s serum during anesthesia in children, in addition to maintaining BS and electrolytes within the normal range, has resulted in greater stability of hemodynamic responses and maintenance of the body’s acid-base balance.
KUALITAS PELAYANAN JASA EKSPEDISI JNE PASCA PANDEMI COVID-19
Authors: Rakhmawati Sri , Wahyudi Budi , Palupi Dyah , Pujiati Desi , Santoso Budi 
Published: November 2023

Jasa Ekspedisi pengiriman barang menjadi pesat pertumbuhannya ketika Covid-19 datang. Ketika Covid berlalu, keberadaan jasa ekspedisi masih sangat dibutuhkan karena memudahkan masyarakat untuk mengirimkan kebutuhan prioritas seperti sembako, obat-obatan, makanan, minuman dan lain-lain. Jenis penelitian ini merupakan studi kasus pada Ekspedisi JNE yang dilakukan pasca pandemi covid-19. Penelitian ini bertujuan untuk mengetahui kualitas pelayanan, kepercayaan dan persepsi harga terhadap kepuasan pelanggan jasa ekspedisi JNE Pasca Pandemi Covid-19 Dalam penelitian ini menggunakan kuesioner dengan jumlah responden sebanyak 250. Pengambilan sampel dengan menggunakan teknik non probability sampling. Software yang digunakan untuk mengolah data dalam penelitian ini adalah Amos 24 dengan metode analisis data yaitu Structural Equation modeling (SEM). Berdasarkan hasil penelitian mengenai kualitas pelayanan, kepercayaan dan persepsi harga serta setelah melalui serangkaian analisis dan pengujian model, maka dalam penelitian ini dapat ditarik kesimpulan bahwa kualitas pelayanan jasa ekspedisi JNE pasca pandemi Covid-19 berpengaruh signifikan terhadap kepuasan pelanggan, kepercayaan jasa ekspedisi JNE pasca pandemi Covid-19 berpengaruh signifikan terhadap kepuasan pelanggan dan persepsi harga jasa ekspedisi JNE pasca pandemi Covid-19 berpengaruh signifikan terhadap kepuasan pelanggan. Variabel yang mempunyai pengaruh terbesar adalah variabel harga yang ditawarkan JNE, artinya bahwa harga jasa pengiriman barang melalui JNE dapat bersaing dengan jasa ekspedisi lain, harga yang diberikan JNE sesuai dengan manfaat yang dirasakan pelanggan, harga yang ditawarkan JNE terjangkau.
PERBEDAAN RERATA KADAR SERUM GLUTAMIC PYRUVATE TRANSAMINASE PADA PRIA DAN WANITA PENDERITA NON-ALCOHOLIC FATTY LIVER
Authors: Mulyono Halim Angga , Martin Alfianto , Johan Johan , Hadisono Hadisono 
Published: November 2023

Non-alcoholic fatty liver (NAFLD) atau penyakit hati berlemak non-alkohol adalah penyakit kerusakan hati yang umum ditemui dan tidak disebabkan oleh konsumsi alkohol. Peningkatan kadar Serum glutamic pyruvic transaminase (SGPT) yang merupakan salah satu enzim hati adalah temuan umum pada pasien NAFLD. Tujuan penelitian adalah ntuk mengetahui apakah terdapat perbedaan rerata kadar SGPT yang bermakna pada pria dan wanita penderita non alcoholic fatty liver (NAFLD) yang dilakukan menggunakan pendekatan analisis statistik. Studi ini dilakukan dengan menganalisis metode analisis data sekunder yang dipelajari sebelumnya. Penelitian ini dilakukan dengan metode analitik dengan pendekatan cross sectional menggunakan data sekunder. Sampel diambil dengan cara total population sampling yang memenuhi kriteria inklusi dan eksklusi. Kriteria inklusi adalah semua pasien dengan NAFLD yang terdiagnosis dengan abdominal ultrasound atau CT scan abdomen. Berdasarkan 63 sampel terkumpul analisis dilakukan dengan uji Mann Whitney, dengan tingkat kepercayaan 95%, didapatkan p-value = 0.015. Kesimpulan didapatkan perbedaan rerata kadar SGPT yang bermakna antara laki-laki dan perempuan penderita NAFLD. Hal ini dapat disebabkan oleh eksklusi asupan alkohol mungkin menyebabkan lebih banyak laki-laki yang terkena penyakit ini karena tingginya prevalensi asupan alkohol pada laki-laki. Resistensi insulin, lemak visceral, kadar SGPT, nilai trigliserida, rentang hati, status pendidikan rendah, dan aktivitas fisik adalah faktor potensial lain yang berkontribusi terhadap perbedaan yang diamati.
PENGARUH KOMPOSISI CAMPURAN BAHAN BAKAR ETANOL BENSIN TERHADAP TEMPERATUR DAN LAMA NYALA API PADA PEMBAKARAN DROPLET
Authors: Arwin Arwin , Marali Aryati Muhaymin , Dwimas Herdian , Yusrina Yasmin Zulfati 
Published: November 2023

Etanol merupakan salah satu bahan bakar nabati yang dapat digunakan sebagai sumber energi alternatif pengganti atau campuran pada bahan bakar bensin. Namun dalam penggunaannya harus memperhatikan beberapa hal karena etanol memiliki sifat fisik dan kimia yang berbeda dengan bensin. Penelitian ini bertujuan untuk mengetahui pengaruh komposisi campuran bahan bakar etanol bensin terhadap temperatur dan lama nyala api pada pembakaran droplet. Melalui penggunaan metode eksperimental bahan bakar etanol dan bensin dicampurkan dengan komposisi etanol dalam bensin sebesar 10% (E10), 20% (E20), 30% (E30), 40% (E40) dan 50% (E50) persentase dihitung berdasarkan volume. Selanjutnya droplet tiap komposisi campuran bahan bakar dilakukan pengujian pembakaran droplet dengan meletakkan pada thermocouple junction lalu di nyalakan dengan pemanasan dari nyala api pembakaran butan-udara pada cylindrical burner yang diletakkan di bawah flame ignitor cover. Hasil penelitian menunjukkan bahwa semakin tinggi persentase campuran etanol dalam bensin maka nilai maksimum temperatur api yang dihasilkan semakin rendah karena dipengaruhi oleh nilai kalor campuran bahan bakar. Semakin tinggi persentase campuran etanol dalam bensin maka semakin kecil nilai kalor campuran bahan bakar sehingga temperatur yang dihasilkan dari proses pembakaran akan semakin rendah. Sedangkan untuk lama nyala api paling singkat terjadi selama 1,15 detik pada E20 dan lama nyala api paling lama berlangsung selama 1,41 detik pada E50. Penambahan jumlah kadar etanol di atas 20% menunjukkan proses pembakaran droplet berlangsung lebih lama. Hal ini disebabkan karena terjadi peningkatan kalor laten penguapan campuran bahan bakar yang cukup signifikan dan intensitas terjadinya fenomena microexplotion rendah menyebabkan kecepatan penguapan dan difusi campuran bahan bakar dengan udara (oksigen) lambat sehingga kecepatan pembakaran rendah.
The Impact of Social Media on Political Activism
Authors: Keith Divine 
Published: November 2023

Purpose: The main objective of this study was to investigate the impact of social media usage on political activism.
Methodology: The study adopted a desktop methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library.
Findings: The findings revealed that there exists a contextual and methodological gap relating to the impact of social media on political activism. The empirical review revealed that social media amplifies the speed and reach of activism efforts. The instantaneous dissemination of information, real-time communication, and dynamic organization have all been instrumental in enabling activists to orchestrate protests, raise awareness, and mobilize support for critical issues. It is worth noting that the effectiveness of social media in driving political change is contingent on the strategic alignment of online campaigns with offline actions. Successful movements have demonstrated the power of synergizing digital advocacy with physical participation, demonstrating that online platforms serve as a means to an end, rather than the end itself.
Unique Contribution to Theory, Practice and Policy: The Social Movement theory, Network theory and the Agenda- Setting theory may be used to anchor future studies on the impact of social media on political activism. The study therefore recommends for diversifying content exposure, enhanced media literacy, bridging online-offline engagement and promotion of responsible platform use among others.
Exploring Environmental Inequalities among Marginalized Communities across the World
Authors: Carmichael Ruthie 
Published: November 2023

Purpose: The main objective of this study was to explore the pervasive issue of environmental inequalities that disproportionately impact marginalized communities.
Methodology: The study adopted a desktop methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library.
Findings: The findings revealed that there exists a contextual and methodological gap relating to issues of environmental inequalities that impact marginalized communities. The empirical review revealed the stark reality that marginalized communities, often characterized by low socioeconomic status and limited access to resources, bear the brunt of environmental hazards and injustices. These disparities are not only detrimental to the health and well-being of these communities but also perpetuate cycles of poverty and hinder their ability to thrive. The findings of this study emphasize the significance of formulating targeted policies and interventions to rectify the environmental injustices faced by marginalized communities. Addressing these disparities requires a multifaceted approach that takes into account the complex intersections of race, class, and environmental well-being.
Unique Contribution to Theory, Practice and Policy: The Critical theory, Environmental Racism theory and the Intersectionality theory may be used to anchor future studies on environmental justice and marginalized communities. The study recommends that there is need for inclusive decision making that involves community members, there is need for investing in sustainable infrastructure and promoting environmental awareness among others.
A Leibniz-Informed Approach to Nietzsche’s Drive Psychology
Authors: Mollison James A. 
Published: November 2023

Abstract
Despite drives’ importance for Nietzsche’s explanation of individuals’ values, controversies persist over how to interpret Nietzsche’s attribution of normative capacities to the drives themselves. On one reading, drives evaluate their aims and recognize the normative authority of other drives’ aims. On another, drives’ normative properties reduce to nonnormative, causal properties. Neither approach is satisfying. The former commits Nietzsche to the homuncular fallacy by granting drives complex cognitive capacities. The latter reading either commits Nietzsche to the naturalistic fallacy, having him derive normative conclusions from descriptive premises, or eliminates normativity from his thought altogether. In response to this impasse, this article advances a Leibniz-informed interpretation of Nietzsche’s drive psychology. By construing the normative and efficient causal orders as parallel modes of explanation distinguished by one’s perspective, a Leibniz-informed reading captures the benefits of extant interpretations while avoiding their drawbacks.
Aportaciones al conocimiento de la flora briológica española. Nótula XVI: briófitos de los alrededores de Espinosa de los Monteros (norte de Burgos)
Authors: Patxi Heras , Marta Infante , Belén Albertos , Anna Barrón , Montserrat Brugués , Mª Jesús Cano , Ricardo Garilleti , Juan Guerra , Juan Antonio Jiménez , Francisco Lara , José David Orgaz , Felisa Puche 
Published: November 2023

Se presentan los resultados de la XXII Reunión de Briología de la Sociedad Española de Briología (SEB) celebrada en los alrededores de Espinosa de los Monteros (norte de Burgos). Un total de 215 briófitos (47 hepáticas y 168 musgos) componen el catálogo resultante de las prospecciones realizadas por los miembros de la SEB en la zona estudiada. Se aportan un total de 29 novedades brioflorísticas para la provincia de Burgos.
The results of the XXII Reunión de Briología of the Sociedad Española de Briología (SEB) held in the surroundings of Espinosa de los Monteros (northern Burgos province) are presented. The catalogue resulting from the SEB members’ prospections carried out in the study area is composed of 215 bryophytes (47 liverworts and 168 mosses). Twentynine bryofloristic novelties for Burgos province are reported.
Novedades para la brioflora de la sierra de Gredos (Sistema Central, España)
Authors: Modesto Luceño , Carlos Cerrejón , Samuel Guerra-Cárdenas , José Ignacio Márquez-Corro , Víctor Pineda-Labella , Marta Infante , Jesús Muñoz 
Published: November 2023

A pesar de la cercanía de la sierra de Gredos (Sistema Central) a importantes núcleos de población como Madrid o Salamanca, la brioflora gredense dista mucho de ser bien conocida. Este trabajo es el resultado de numerosas prospecciones llevadas a cabo a lo largo de los últimos cuatro años en la citada cadena montañosa, especialmente en la zona menos prospectada, correspondiente a los pisos oro y crioromediterráneo. Los resultados ofrecen siete nuevas citas para el Sistema Central en su conjunto, seis para el tramo español de dicha cordillera, 21 para la sierra de Gredos, dos para Extremadura, una para Castilla y León y numerosas novedades para las provincias de Ávila, Cáceres y Salamanca. En las especies que lo requieren se realizan algunos comentarios taxonómicos y ecológicos que podrían ser de interés.
Despite the proximity of Gredos Mountains (Central System range) to important cities such as Madrid and Salamanca, the bryophyte flora of this range remains little known. In this paper we present the results of a high number of collecting field trips along the last four years in different sectors of this mountain range, mainly in their scarcely sampled high altitude levels. Among the results we underline seven new records for the whole Iberian Central range, six more for the Spanish part of these mountains, 21 for sierra de Gredos, two for Extremadura and one for Castilla y León autonomous communities, as well as numerous new records for Ávila, Cáceres and Salamanca provinces. Several taxonomical and ecological comments are provided when required.
Envolventes verdes de edificios con briófitos. Una revisión del estado actual de la cuestión
Authors: Daniel Garabito , Roberto Vallejo , Eduardo Montero , Javier Garabito , Javier Martínez-Abaigar 
Published: November 2023

Se presenta una revisión sobre el uso de briófitos en construcción, en concreto, como parte de la envolvente de los edificios. Los briófitos se han empleado tradicionalmente en la arquitectura vernácula de climas extremos, pero siempre en usos secundarios. Actualmente, existe un creciente interés en el estudio del potencial de los briófitos como componente de la envolvente de los edificios, en el contexto de una mayor concienciación “verde” del sector de la edificación. Los briófitos pueden servir como sustitutos de las plantas vasculares en fachadas y cubiertas verdes aprovechando algunas de sus características generales, como su capacidad de colonización de materiales de construcción bio-receptivos, actividad fotosintética, tolerancia a factores adversos, capacidad de reviviscencia y gran retención de agua. No obstante, los sistemas comerciales desarrollados hasta el momento no han alcanzado todavía los resultados esperados y, en general, su empleo no está prosperando. Se analizan las causas de este problema y se proponen nuevos métodos para conseguir estos objetivos.
This article consists of a review of the state of the art of using bryophytes in construction, especially as part of buildings envelopes. Bryophytes have traditionally been used in vernacular architecture of extreme climates, but always related to a secondary role. Nowadays, there is an increasing interest in studying the potential of bryophytes as a component of building envelopes, in the current context of a “green” consciousness-raising in the construction sector. Bryophytes are suitable as substitutes for vascular plants in green façade and roof systems, taking advantage of some of their general characteristics, such as their ability to colonize different bio-receptive construction materials, photosynthetic activity, tolerance to adverse factors, reviviscence ability and high water retention capacity. Nevertheless, the commercial systems developed with this aim have not reached the expected results yet, and thus their use is not being successful. The causes of this problem are analysed and new methods are proposed to achieve the mentioned aims
Impact of Anesthesia Type on Blood Glucose in Intraoperative Diabetic Patients: A Systematic Review and Meta-Analysis Randomized Control Trial
Authors: Mixrova Sebayang Septian , Burhan Asmat , Susanti Indah 
Published: November 2023

Background: systematic literature review investigating the impact of different anesthetics on intraoperative blood glucose levels of diabetic patients. Method: Databases including ProQuest, PubMed, ScienceDirect, and Wiley were searched for RCTs (randomized controlled trials) that examined the effects of various anesthetics on intraoperative blood glucose levels in diabetic patients. In one study, two researchers independently used eligibility criteria to examine the literature, extracted the data, and used RevMan 5.3 software to perform the meta-analysis. Results: We used trials for meta-analysis with seven randomized controlled trial overall with a total sample of 519 intraoperative diabetic patients. Compared with general anesthesia, it was found that the general anesthesia-epidural combination had superior glycemic control in intraoperative blood glucose levels, based on the meta-analysis results (SMD -1.78, 95% confidence interval [CI] -4.57 to -3.41), however epidural anesthesia did not show comparable superiority. Conclusions: Combined general-epidural anesthesia offers better glycemic control for postoperative blood sugar levels compared to general anesthesia, based on existing data.
Using Electronic Health Records and Linked Claims Data to Assess New Medication Use and Primary Nonadherence in Rheumatology Patients
Authors: Beukelman Timothy , Su Yujie , Xie Fenglong , George Michael D. , England Bryant R. , Curtis Christian , Clinton Cassie , Stewart Patrick , Curtis Jeffrey R. 
Published: November 2023

ObjectiveThe objective of this study was to determine the proportion of new medication prescriptions observed in electronic health records (EHR) that represent true incident medication use, accounting for undocumented previous prescriptions (prevalent medication use) and failure to initiate treatment (primary nonadherence) with linked administrative claims data as the reference standard.MethodsUsing single‐specialty rheumatology EHR data from more than 700 community practices in the United States linked to administrative claims data, we identified first (index) EHR prescriptions and assessed the positive predictive value (PPV) of different EHR‐derived new user definitions to identify true incident use (no prior claims). We then assessed how often index EHR prescriptions that met a definition of new use resulted in primary nonadherence (no subsequent claims).ResultsOverall, 12,405 index EHR prescriptions were identified with PPVs of 0.59 to 0.67 for true incident use. PPVs increased to 0.76 to 0.85 by excluding medications listed during the EHR medication reconciliation process and further increased to 0.87 to 0.93 by requiring ≥12 elapsed months since the first rheumatology office visit. Primary nonadherence at three months was observed in 33% to 38% overall and varied substantially by medication class, ranging from 15% to 23% for conventional synthetic disease‐modifying antirheumatic drugs (DMARDs) to 54% to 64% for targeted synthetic DMARDs.ConclusionNew DMARD use was accurately distinguished from prevalent use with EHR prescriptions and simple new user definitions that include current medications collected during medication reconciliation. Primary nonadherence was frequent and varied by DMARD class. This has important implications for epidemiologic studies using EHR data and for optimal delivery of clinical care.
Multipurpose Domesticity: Labour, Leisure and Kitchen Tables
Authors: Nielsen Holly 
Published: November 2023

AbstractIn the grip of the viral contagion of the recent past and its attendant lockdowns, many of us started working from home for the first time and transitioning to various online communication methods such as Zoom or Teams. However, home working is not a new phenomenon; our domestic spaces have always had to embrace and adapt to multifunctional activities they may not have been designed for. The introduction of online spaces, though, adds a new layer to consider. Historian and writer Holly Nielsen explores our contemporary domestic condition, its histories and its interaction with electronic space.
3D π–d Conjugated Coordination Polymer Enabling Ultralong Life Magnesium‐Ion Storage
Authors: Feng Shuo , Zhang Mochun , Ma Yanxia , Ding Xue , Yan Tianran , Wu Yunling , Huang Wei , Zhang Liang , Ye Hualin , Ji Yujin , Li Youyong , Li Yanguang 
Published: November 2023

AbstractThere has been increasing interests in π–d conjugated coordination polymers (CCPs) for energy storage because of their rapid charge transfer through long‐range planar π–d conjugation between ligands and metal centers. Nevertheless, currently reported CCPs for energy storage are mostly based on 1D or 2D structures. There are few 3D CCPs reported to date because of the great challenge in constructing nonplanar coordination geometries, let alone their applications in multivalent ions storage. Herein, a triphenylene‐catecholate‐based 3D CCP (Mn‐HHTP) is successfully synthesized assembled from the multidentate chelating groups of hexahydroxytriphenylene (HHTP) ligands and their isotropic coordination with Mn2+ ions. The 3D conjugated structure of Mn‐HHTP enables an exceptional cycle life of >4000 cycles at 0.5 A g−1 for multivalent Mg2+ ion storage, which is far superior to most organic and inorganic electrode materials. Experimental characterizations combined with theoretical calculations indicate that the semiquinone radicals at the HHTP ligands are the electroactive centers for Mg2+ ions storage. The excellent performance of Mn‐HHTP opens a new avenue towards the design of 3D CCPs for long‐life rechargeable magnesium‐ion batteries.