bluuebunny/crossref_metadata_2025_split huggingface dataset:
Gambaran Karakteristik dan Pengetahuan Ibu Mengenai Pemberian Imunisasi Dasae Lengkap Pada Bayi Usia 0-12 Bulan di Wilayah Kerja Puskesmas Medono Koya Pekalongan
Authors: Wahani Salisa Tara , Mustikawati Neti 
Published: November 2023

ABSTRACT The coverage of complete basic immunization in Pekalongan City in 2021 was 86.06% out of 5110. This number did not meet the 2021 Strategic Plan target of 93.6%. This study aims to describe maternal knowledge regarding the administration of complete basic immunization for infants aged 0-12 months. This quantitative descriptive research design involved 45 mothers with infants aged 1 month in the working area of Medono Community Health Center. Total sampling technique was used. Data analysis of characteristics was conducted using univariate analysis, while knowledge was analysed using frequency and percentage. The results showed that the mean age of the respondents was 30 years, and they had an average of 2 children. 23 respondents (51.1%) had completed high school education, and 27 (60%) were not employed. 24 respondents (53.3%) had previous experience. All 45 respondents (100%) were Muslims and of Javanese ethnicity. The description of maternal knowledge regarding the administration of complete basic immunization for infants aged 0-12 months indicated that the majority of respondents had a category of insufficient knowledge (60%), a moderate knowledge category had 15 respondents (33.3%), and only 3 respondents (6.7%) had a good knowledge category. The majority of respondents had insufficient knowledge, indicating aneed for education using media-printed, posters, and brochures. Keywords: Demographic Characteristics, Immunization, Knowledge ABSTRAK Cakupan imunisasi dasar lengkap di Kota Pekalongan tahun 2021 86,06% dari 5110. Angkanya belum memenuhi target Renstra tahun 2021 yaitu 93,6%. Penelitian ini bertujuan untuk mendeskripsikan gambaran pengetahuan ibu mengenai pemberian imunisasi dasar lengkap pada bayi usia 0-12. Desain penelitian kuantitatif deskriptif dengan 45 ibu yang mempunyai bayi usia 1 bulan di wilayah kerja Puskesmas Medono. Teknik total sampling. Analisa data karakteristik menggunakan univariat dan pengetahuan dianalisa dengan frekuensi dan presentase. Hasil penelitian karakteristik responden rata rata berusia 30 tahun dan mempunyai 2 anak, responden berpendidikan SMA/SMK 23 (51,1%), 27 (60%) tidak bekerja, responden yang berpengalaman 24 (53,3%), seluruh responden 45 (100%) beragama islam dan suku jawa. Gambaran pengetahuan ibu mengenai pemberian imunisasi dasar lengkap pada bayi usia 0-12 bulan sebagian besar responden kategori pengetahuan kurang 27 (60%), di kategori pengetahuan yang cukup ada 15 (33,3%), dan kategori pengetahuan baik hanya 3 (6,7%). Sebagian besar responden memiliki pengetahuan yang kurang sehingga perlu dilakukan penyuluhan dengan menggunakan media cetak, poster, dan brosur. Kata Kunci: Karakteristik Demografi, Pengetahuan, Imunisasi
Pengaruh Penyuluhan Gizi Terhadap Pengetahuan Anemia Dan Kekurangan Energi Kronik Siswi Madrasah Tsanawiyah Darul Hikmah Poniang
Authors: Sari Diesna , Kalsum Ummu , Mubarak Muhammad Hosni 
Published: November 2023

ABSTRAK
Latar Belakang: Masalah gizi yang rentan terjadi pada kelompok remaja adalah anemia dan KEK. Pengetahuan seseorang akan sangat berpengaruh terhadap sikap dan perilaku dalam pemilihan makanan. Tujuan: Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian penyuluhan terhadap pengetahuan anemia dan kekurangan energi kronik (KEK) pada Siswi MTS Darul Hikmah Poniang. Metode: Jenis penelitian adalah quasi eksperimental dengan desain one group pre-post test. Populasi penelitian yaitu seluruh siswi di Mts Darul Hikmah Poniang. Penentuan sampel menggunakan teknik pengambilan sampel secara acak dengan kriteria inklusi yaitu remaja putri berumur 12-17 tahun, sudah menstruasi, dan bersedia menjadi subjek penelitian dengan menandatangani informed consent berjumlah sebanyak 34 orang siswi. Data pengetahuan dikumpulkan dengan membagikan lembar kuesioner yang telah disediakan. Analisis data menggunakan analisis univariat dan bivariat. Hasil: Terjadi peningkatan persentase jumlah anak yang memiliki kategori tingkat pengetahuan yang cukup terkait anemia yakni dari 23,53 % menjadi 50%, begitupun pada katergori tingkat pengetahuan yang cukup terkait KEK yakni dari 26,47% menjadi 55,89 %. Hasil uji menunjukkan ada perbedaan bermakna secara statistic dengan menggunakan uji Wilcoxon yaitu (p<0,05) antara kedua variable yakni hasil pengetahuan tentang anemia dan KEK yang signifikan antara sebelum dan sesudah diberikan intervensi berupa penyuluhan gizi. Nilai P pada analisis uji pada pengetahuan anemia menunjukkan angka p = 0,026. Dan Nilai P pada tabel analisis uji pengetahuan KEK menunjukkan angka p = 0,001. Kesimpulan: Ada pengaruh perbedaan hasil pengetahuan tentang anemia dan KEK yang signifikan antara sebelum dan sesudah diberikan intervensi berupa penyuluhan gizi pada remaja putri
Pengaruh Media Komik Dan Poster Terhadap Pengetahuan Gizi Seimbang Anak Sekolah
Authors: Kaluku Khartini 
Published: November 2023

Background: Due to a lack of awareness about balanced nutrition requirements, school-age children are currently struggling with a variety of nutritional issues, including undernutrition and excess nutrition. The purpose of this study was to compare the impact of comic books and posters on children's knowledge of a balanced diet. Methods: This type of research is a quasi-experimental design with a pre-post test with control. The research location was at the Ambon City Orphanage with 60 school children aged 10-12 years as subjects. The independent variable is the use of comics and posters in balanced nutrition counseling, while the dependent variable is children's knowledge. At the beginning and end of the study, children's knowledge was measured by a questionnaire. Data analysis used paired sample test and independent samples T-test. The results showed that there was a significant increase in knowledge of balanced nutrition in orphanage children before and after being given comic media and posters with a p-value <0.05. Counseling with poster media is more effective in increasing nutrition knowledge than comic media.
Does it make any sense to fit cochlear implants according to the anatomy-based fitting? Our experience with the first series of patients
Authors: Lassaletta Luis , Calvino Miryam , Sánchez-Cuadrado Isabel , Gavilán Javier 
Published: November 2023

IntroductionPersonalization of treatment is a growing trend in various fields of medicine, and this includes cochlear implantation. Both the precise choice of the length and shape of the electrode array to fit a particular cochlear anatomy, as well as an individualized fitting setting have been suggested to improve hearing outcomes with a cochlear implant (CI). The aim of this study was to compare anatomy-based fitting (ABF) vs. default fitting in terms of frequency-to-place mismatch, speech discrimination, and subjective outcomes in MED-EL CI users.MethodsEight adult CI users implanted with a Synchrony ST Flex28 were enrolled prospectively. Insertion depth and tonotopic distribution of each electrode was calculated using the Otoplan software. The mismatch was calculated for each fitting strategy relative to the electrodes' tonotopic place-frequency. Speech tests and patient preference was evaluated after 9 months with ABF and 1 month after default fitting.ResultsMedian angular insertion of the most apical active electrode was 594° (interquartile range 143°). ABF showed lower mismatches than default fitting in all patients (p ≤ 0.01). Mean speech discrimination score with ABF and default fitting was 73 ± 11% and 72 ± 16%, respectively (p = 0.672). Mean speech reception threshold with ABF and default fitting was 3.6 ± 3.4 dB and 4.2 ± 5.0 dB, respectively (p = 0.401). All patients except one preferred ABF when they were asked about their preference.ConclusionABF maps have a lower frequency-to-place mismatch than default fitting maps. In spite of similar hearing outcomes most patients prefer ABF. More data are necessary to corroborate the benefit of the ABF over default fitting in speech and subjective tests.
Endobronchial optical coherence tomography helps to estimate the cartilage damage of the central airway in TBTB patients
Authors: Zong Kaican , Liu Bin , Li Shiying , Li Yishi , Guo Shuliang 
Published: November 2023

PurposeAt present, there are few examination methods used to evaluate tracheobronchial cartilage damage. In our study, we explored whether endobronchial optical coherence tomography (EB-OCT) can be used to estimate central airway cartilage damage in tracheobronchial tuberculosis (TBTB) patients.MethodsIn our study, we used the OCTICS Imaging system to perform EB-OCT scanning for TBTB patients. The thickness of the central airway wall and cartilage was measured by the OCTICS software system workstation.ResultsThere were 102 TBTB patients included in our study cohort. Their EB-OCT images of the central airway cartilage showed that abnormal cartilage manifests as thinning of the cartilage, cartilage damage, cartilage destruction, and even cartilage deficiency. The cartilage morphology becomes irregular and discontinuous. Some parts of the cartilage become brighter in grayscale. The intima of the cartilage is thickened and discontinuous, and the boundary with submucosa and mucosa is unclear.ConclusionOur study conducted EB-OCT examination of the central airway cartilage of TBTB patients in vivo for the first time. EB-OCT helps to estimate the cartilage damage of the central airway in TBTB patients to some extent.
What affects second language vocabulary learning? Evidence from multivariate analysis
Authors: Sun Danning , Chen Zihan , Zhu Shanhua 
Published: November 2023

IntroductionVocabulary acquisition is crucial in second language (L2) learning and can be affected by multi-variables. The fact that all these variables have typically been investigated separately (or, at best, in pairs) potentially obscures important interactions between them. This study comprehensively examines the intricate factors affecting vocabulary knowledge among Chinese learners studying English as a foreign language (EFL).MethodsWe conducted an investigation involving 200 Chinese EFL learners to identify the relationships between L2 proficiency, vocabulary learning strategies, age of acquisition (AoA), classroom exposure, and their relationships and predictive power on L2 vocabulary breadth and vocabulary depth.ResultsL2 proficiency emerged as the most robust predictor of vocabulary knowledge, closely trailed by vocabulary learning strategies, AoA, and classroom exposure. Notably, the use of metacognitive learning strategies such as self-regulated and self-aware learning, was found to be significant. Earlier L2 exposure resulted in a more sufficient vocabulary knowledge. However, the conventional belief that longer classroom sessions lead to enhanced vocabulary knowledge was challenged.DiscussionOur findings suggest the interconnectedness between L2 proficiency and L2 vocabulary knowledge. The investigation highlights the need for increased cognitive involvement and self-discipline in L2 vocabulary learning. This study also emphasizes the necessity to maximize the efficacy of classroom sessions, together with the benefits for an earlier age of L2 acquisition. Guidance for L2 researchers and instructors in second language vocabulary acquisition is offered.
Effect of collagen endometrial patch loaded with adipose-derived mesenchymal stem cells on endometrial regeneration in rats with a thin endometrium
Authors: Hong Juyeon , Ahn Hyojin , Moon Soo Young , Kang Hyo Jin , Yi Kyong Wook 
Published: November 2023

BackgroundThis study aimed to investigate the effects of a collagen endometrial patch (EM patch) loaded with adipose-derived mesenchymal stem cells (ADSCs) on endometrial regeneration in a rat model with thin endometrium.Materials and methodsThin endometrium was induced in female rats and divided into treatment groups as outlined: control, group 1(G1), local injection of ADSCs into the uterus, group 2 (G2), an EM patch without ADSCs, group 3 (G3), and an EM patch loaded with ADSCs, group 4 (G4). The rats were euthanized at either two weeks or four weeks after modeling and treatment followed by histological and biochemical analyses to examine the regenerative effects on the injured endometrium.ResultsTransplantation of the ADSC-loaded EM patch significantly promoted endometrial proliferation and increased the luminal epithelial area. Two weeks after treatment, the mean number of von Villebrand factor (vWF)+ or cluster of differentiation (CD) 31+-stained blood vessels was significantly higher in G4 than in G1 and G2. The mRNA and protein expression levels of TGF-β and FGF2 were significantly upregulated in G4 compared to those in the control. G4 exhibited significantly increased LIF mRNA levels and immunoreactivity compared with the other groups at both two weeks and four weeks after treatment. Cell tracking after ADSCs treatment revealed the presence of a substantial number of ADSCs grafted in the uterine tissues of G4, whereas a low number of ADSCs that were focally clustered were present in G2.ConclusionTransplantation of EM patches loaded with ADSCs resulted in the histological and biochemical restoration of an injured endometrium. The strategic integration of EM patches and ADSCs holds significant promise as an innovative therapeutic approach for effectively treating impaired endometrial conditions.
Relationship between advanced lung cancer inflammation index and long-term all-cause, cardiovascular, and cancer mortality among type 2 diabetes mellitus patients: NHANES, 1999–2018
Authors: Chen Yaying , Guan Mengqian , Wang Ruiqi , Wang Xuewen 
Published: November 2023

BackgroundType 2 diabetes mellitus (T2DM) was a major global health threat. As a chronic low-grade inflammatory disease, the prognosis of diabetes was associated with inflammation. The advanced lung cancer inflammation index (ALI) served as a comprehensive index to assess inflammation. This study aimed to estimate the association between ALI and all-cause, cardiovascular disease (CVD), and cancer mortality in T2DM patients.MethodsWe extracted cohort data from the National Health and Nutrition Examination Survey (NHANES) spanning 1999-2018 for analysis. The weighted Kaplan-Meier analysis and multivariate-adjusted Cox analysis were utilized to evaluate the relationship between ALI and all-cause, CVD, and cancer mortality in T2DM patients. Restricted cubic spline (RCS) analysis was employed to assess their non-linear relationship. Stratified analysis and interaction analysis were conducted to enhance the robustness of the results.ResultsThe study incorporated a total of 3,888 patients. An increase in ALI was associated with a reduced risk of all-cause and CVD mortality in T2DM patients, but not related to cancer mortality. There were J-shaped and L-shaped non-linear relationships between ALI and all-cause, CVD mortality in T2DM patients, respectively. The inflection points were 90.20 and 93.06, respectively. For values below the inflection point, every 10U increase in ALI, both all-cause and CVD mortality risk decreased by 9%. Beyond the inflection point, all-cause mortality rose by 3%, while CVD mortality remained unaffected. Gender-stratified RCS analysis indicated a linear negative relationship between CVD mortality and ALI in female T2DM patients, whereas the trend in males aligned with the overall population.ConclusionOur research initially identified a significant correlation between increased ALI levels with decreased all-cause and CVD mortality in T2DM patients. There were J-shaped and L-shaped non-linear relationships between ALI and all-cause, CVD mortality in T2DM patients, respectively. For female patients, there was a linear negative relation between CVD mortality and ALI, whereas the trend in males aligned with the overall population. These findings suggested that maintaining ALI (for example, control body weight and keep albumin in the normal range) within a certain range in the clinical settings was crucial for improving all-cause and CVD mortality in T2DM patients.
Potential of hydrogel treatment in forest regeneration: impact on growth and vitality of Central European tree species
Authors: Tomášková Ivana , Resnerová Karolina , Trombik Jiří , Bláha Jaromír , Pastierovič Filip , Macků Jan 
Published: November 2023

IntroductionDrought negatively affects the growth and yield of plants. Several measures have been employed to improve the drought tolerance of plants, including the application of superabsorbent hydrogel (SAH) to soil. However, studies on the effect of SAH on trees in Central Europe, which has a temperate climate, are scarce.MethodsHere, the effects of SAH treatment on the cultivation of four key tree species in Central European forest ecosystems—European beech, sessile oak, Scots pine, and Norway spruce—were evaluated. Field and greenhouse experiments were conducted; the greenhouse conditions served as the reference for the absence of water stress.Results and DiscussionSAH treatment reduced seedling mortality by 1%–9% in the field experiment. The morphological parameters of the control and SAH-treated seedlings did not significantly differ. Among the tree species, oak seedlings exhibited a positive response to SAH treatment. Spruce, pine, and beech did not respond to SAH treatment; the proline content of SAH-treated conifer leaves was three times higher than that of oak leaves but still very low, revealing no drought stress. The results highlight the significance of employing an individual approach in the application of SAH in forestry, rather than relying on generic measures.
Comparison of ocean deoxygenation between CMIP models and an observational dataset in the North Pacific from 1958 to 2005
Authors: Abe Yumi , Minobe Shoshiro 
Published: November 2023

This study investigated the relationship between the observed and simulated dissolved oxygen (O2) inventory changes in the North Pacific by analyzing an observational dataset and the outputs of Coupled Model Intercomparison Project Phase 5 and 6 (CMIP5/6) between 1958 and 2005. A total of 204 ensembles from 20 models were analyzed. Many of the models in the North Pacific subarctic region have higher climatological O2 concentrations than observed at deeper water depths. Therefore, the negative trend of O2 inventories tends to be larger, and in fact, several model ensemble members have a larger negative trend in O2 inventories than observed. The variability among model ensemble members is more influenced by the uncertainty due to internal variability than by the uncertainty resulting from model dependency. An inter-model empirical orthogonal function (EOF) analysis revealed that the different simulated magnitudes of the negative O2 trend is closely associated with the first EOF mode, and ensemble members with strong negative trends are characterized by large oxygen reduction in the subarctic North Pacific, especially around the boundaries between the North Pacific Ocean and the Sea of Okhotsk as well as the Bering Seas. The modeled strong O2 decrease in the subarctic North Pacific is consistent with the spatial pattern of the observed O2 trend. Further analysis of climate models indicated that the O2 decrease in the subarctic region was primarily caused by physical factors. This conclusion is supported by the significantly high correlation is present between the potential temperature and O2 inventory trend in the subarctic region, whereas an insignificant correlation coefficient is present between dissolved organic carbon and the O2 inventory trend. However, the observations have a larger ratio of O2 inventory trend to temperature trend than any of the ensembles, and thus the relationship between O2 and temperature change in the subarctic North Pacific seen in the CMIP5/6 simulations is not exact.
Reforestation regulated soil bacterial community structure along vertical profiles in the Loess Plateau
Authors: Wu Fan , Wang Yunqiang , Sun Hui , Zhou Jingxiong , Li Ruijie 
Published: November 2023

IntroductionReforestation is a widely used strategy for ecological restoration in areas facing ecological degradation. Soil bacteria regulate many functional processes in terrestrial ecosystems; however, how they respond to reforestation processes in surface and deep soils remains unclear.MethodsArtificial Robinia pseudoacacia plantation with different stand ages (8, 22, and 32 years) in a typical fallow forest on the Loess Plateau was selected to explore the differential response of soil bacterial community to reforestation in different soil depths (surface 0–200 cm, middle 200–500 cm, and deep 500-100 cm). Soil bacterial diversity, community composition and the co-occurrence patterns, as well as the functions were analyzed.Results and discussionThe results showed that alpha diversity and the presence of biomarkers (keynote species) decreased with the increasing soil depth, with a sharp reduction in family-level biomarker numbers in 500–1,000 cm depth, while reforestation had a positive impact on bacterial alpha diversity and biomarkers. Reforestation induced a more loosely connected bacterial community, as evidenced by an increase of 9.38, 22.87, and 37.26% in the average path length of the co-occurrence network in all three soil layers, compared to farmland. In addition, reforestation reduced the hierarchy and complexity but increased the modularity of the co-occurrence network in top and deep soil layers. Reforestation also led to enrichment in the relative abundance of functional pathways in all soil layers. This study sheds light on the strategies employed by deep soil bacteria in response to reforestation and underscores the significant potential of deep soil bacteria in terrestrial ecosystems, particularly in the context of human-induced environmental changes.
Refractory occipital neuralgia treatment with nerve decompression surgery: a case series
Authors: Austen William G. , Remy Katya , Packowski Kathryn , Hazewinkel Merel H. J. , Gfrerer Lisa , Mathew Paul G. 
Published: November 2023

BackgroundThe management of refractory occipital neuralgia (ON) can be challenging. Selection criteria for occipital nerve decompression surgery are not well defined in terms of clinical features and best preoperative medical management.MethodsIn total, 15 patients diagnosed with ON by a board-certified, fellowship-trained headache specialist and referred to a plastic surgeon for nerve decompression surgery were prospectively enrolled. All subjects received trials of occipital nerve blocks (NB), at least three preventive medications, and onabotulinum toxin (BTX) prior to surgery before referral to a plastic surgeon. Treatment outcomes included headache frequency (headache days/month), intensity (0–10), duration (h), and response to medication/injectable therapies at 12 months postoperatively.ResultsPreoperatively, median headache days/month was 30 (20–30), intensity 8 (8–10), and duration 24 h (12–24). Patients trialed 10 (±5.8) NB and 11.7 (±9) BTX cycles. Postoperatively, headache frequency was 5 (0–16) days/month (p &lt; 0.01), intensity was 4 (0–6) (p &lt; 0.01), and duration was 10 (0–24) h (p &lt; 0.01). Median patient-reported percent resolution of ON headaches was 80% (70–85%). All patients reported improvement of comorbid headache disorders, most commonly migraine, and a reduction, discontinuation, or increased effectiveness of medications, NB and BTX.ConclusionAll patients who underwent treatment for refractory ON by a headache specialist and plastic surgeon benefited from nerve decompression surgery in various degrees. The collaborative selection criteria employed in this study may be replicable in clinical practice.