bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE EFFECTIVENESS OF CEFTRIAXONE AND MEROPENEM IN THE TREATMENT OF ENTERIC FEVER IN CHILDREN- EXPERIENCE IN A TERTIARY CARE HOSPITAL IN PAKISTAN
Authors: Afridi Jan Muhammad , Sabahat Amir  , Sana Pervez  , Rahman Syed Kaleem Ur 
Published: November 2023

Objectives: To determine the effectiveness of ceftriaxone and Meropenem in the treatment of Enteric Fever in the Pediatric Department of Khyber Teaching Hospital Peshawar.
MATERIALS AND METHODS: This cross-sectional descriptive study was conducted at the Department of Child Health Khyber Teaching Hospital Peshawar Pakistan from June 2020 to June 2022. The sample size included 392 patients. Keeping in view 392 blood samples were taken and sent for blood culture. Both positive and negative cultures were incorporated in the study. The patients were started empirically on ceftriaxone and then in case of no response, the patients were shifted to Meropenem based on the sensitivity of the culture report. The response was defined as when the patient is afebrile for 72 hours after the treatment and the absence of complications like peritonitis, intestinal hemorrhage, and obtundation. Data was analyzed using SPSS version 21.0.

RESULTS: In our study, out of 392 patients, 64% were males while 36% were females. Among blood cultures sent, 16.8% were positive and 83.2% were negative. Among the culture positive, 10.5% of patients were sensitive to Meropenem, 3.6% were sensitive to ceftriaxone and 2.8% were sensitive to other drugs. 60.7% of patients responded to Meropenem. Ceftriaxone-responsive patients were 11.7%, while 27.6% showed a response to other drugs.
CONCLUSION:
The efficacy of Meropenem was significantly high (in 2/3rd patients) while Ceftriaxone showed 11.73% efficacy.
KEYWORDS: Enteric fever, ceftriaxone, Meropenem
COMPARATIVE EVALUATION OF PARENTAL PERCEPTIONS OF THE ORAL HEALTH-RELATED QUALITY OF LIFE OF AUTISTIC AND NON-AUTISTIC CHILDREN AFTER FULL MOUTH REHABILITATION UNDER GENERAL ANESTHESIA
Authors: Aswad Noor AL , Abushanan AlWaleed , Ali Saqib 
Published: November 2023

Objectives: To compare the parental perceptions of the oral health-related quality of life (OHRQOL) of autistic and non-autistic children after full mouth rehabilitation under general anesthesia (GA).
Methods and Materials: The study included 114 autistic children and 116 children without autism. Two years after receiving therapy under GA, participating parents completed a condensed version of the Perceptions Questionnaire (P-CPQ) and Family Impact Scale (FIS). Demographic data was collected. Oral symptoms, social health, psychology, functional limitation, and family affect ratings. Mean, standard deviation and statistical differences between groups were analyzed using SPSS.
Results: Children with autism received higher overall P-CPQ scores than children without autism, according to the frequency distribution of the P-CPQ for parental perception when children with and without autism were compared. In all four domains, when scores were compared according to the domain, there was no statistically significant difference in the scores. According to the FIS frequency distribution, children with autism had higher total FIS scores than children without the condition. The change was not statistically significant, though. Only parental emotions showed a statistically significant difference when scores were examined by domain.
Conclusion: Children with autism and children without autism score the same on the P-CPQ, indicating that the impact of comprehensive rehabilitation under GA is positive for both types of children. Parent emotions may not change immediately following the complete rehabilitation under GA which may be required to be handled separately to boost the confidence of the patient.
Keywords: Autistic, children, general anesthesia, parents, perception
Effectiveness of Utilizing an Evidence-Based Clinical Skill Platform in Critical Care Nursing Course: A Quasi-experimental Study
Authors: Et. al. Leena Khonji 
Published: November 2023

Background: In today's nursing education, incorporating innovative teaching pedagogies is highly valued, including the utilization of online clinical skills platforms. This study compared the effectiveness of the Clinical Skills platform, an evidence-based e-learning tool, with traditional face-to-face lab demonstration sessions. Methods: A quasi-experimental research study was conducted in the Nursing College, King Khaled University, Kingdom of Saudi Arabia. A convenient sample of 50 students enrolled in the critical care nursing course were divided into two groups: the intervention group utilized the Clinical Skills platform, while the control group received face-to-face lab sessions. Pre-posttest knowledge test for 10 skills were done. Objective Structured Clinical Evaluation (OSCE) were conducted to evaluate skill acquisition as well. Results: A significant improvements in students’ knowledge regarding the ten critical care nursing skill practices as p-value ranged from p=0.042 to p<0.001. Additionally, the intervention group obtained higher percent scores in the OSCE 96% compared to in 80% the control group. Students reported a positive perception of the usability of clinical skill platforms where 84% of the students agreed or strongly agreed that incorporating the Clinical Skills platform was beneficial for their learning experience. In conclusion, these findings support the idea that innovative teaching pedagogies, such as the Clinical Skills platform, enhance the effectiveness of clinical nursing education. This comprehensive and user-friendly platform promotes skill development, active learning, and improved student performance in critical care nursing.
Critique on the Legal Framework for Combating Human Trafficking in Nigeria
Authors: Dyitkuka Joanna Rotdelmwa , Musa-Agboneni Omomen 
Published: November 2023

Human trafficking is a menace that affects the global community, because of its adverse effect on the members of the society. It is therefore a violation of the human rights of persons and is believed to oppress thousands of people globally. In Nigeria, there is a legal framework to combat human trafficking, however, human trafficking still remains a major concern that has eaten so deep into the fabric of Nigeria and has become very complex to tackle. Human trafficking just like any other crime has evolved and is still evolving as society evolves. Therefore, there is an expectation that laws are constantly in conformity with the current trends and practices of human trafficking in a community. This study aims to critically critiquethe position of the law on human trafficking in Nigeria, the gaps present in these laws and make recommendations to effectively fight against human trafficking. This study also recommends that further amendments of the extant laws should comply with the present-day realities.
BIOSTRATIGRAPHY AND DEPOSITIONAL SETTING OF PUNTA MANNA MEMBER TYPE-SECTION (NEBIDA FORMATION, LOWER CAMBRIAN,	SW SARDINA, ITALY)
Authors: DEBRENNE FRANÇOISE , GANDIN ANNA , PILLOLA GIAN LUIGI 
Published: November 2023

Punta Manna Member is the younger unit of the Lower Cambrian Nebida Formation in southwestern Sardinia. Sedimentological analyses aim to characterize the type-section, formally and and briefly described by Rasetti in 1972.
The sequence has been divided into three units on the basis of its lithological features.
The lower unit (Oolitic Unit) mainly consists of Girvanella - archaeocyathan mounds alternated with oolitic grainstones and/or sandstones containing scattered accumulations of trilobite debris. The depositional setting corresponds to a littoral environment characterized by the alternated input of land and sea-derived sands, and where the mounds were periodically destroyed or buried by migrating sand waves.
In the middle unit bioconstructions and archaeocyaths virtually disappear whereas trilobites were accumulated by currents and waves. Siliciclastic and oolitic sands prevail but are gradually replaced by quartzitic sands and early dolomitic muds. The appearance of these latter suggests a climatic trend towards arid condition in a depositional environment evolving to a tidal lagoon.
In the upper unit the development of early dolomitic algal mats alternating with quartzitic sandstones, siltstones and shales, attests the establishment of a sabkha complex at first influenced by siliciclastic input coming from an arid continent.
The low diversity of the fauna throughout the section appears to reflect the severe conditions of life resulting from the high variability in energy and salinity of the depositional setting.
CHRONOLOGICAL AND GEOGRAPHICAL DISTRIBUTION OF THE FAM. COMELICANIIDAE MERLA, 1930 (BRACHIOPODA)
Authors: POSENATO RENATO 
Published: November 2023

The comelicaniid brachiopods, typical fossils of the Upper Permian, have been considered the markers for the Lower Dorashamian. They show a Wide geographical distribution, that is from the Southern Alps (Italy) to Himalayan region - Dolomites and Carnia (Italy), Central Slovenia (Yugoslavia), Bükk Mts. and Transdanubian Central Range (Hungary), Transcaucasia (USSR Armenia and North Iran) and Spiti (Himalayas, India).
From stratigraphical researches carried out on the P/T boundary from the Southern Alps and Hungary, it has been found that the comelicaniid range is not restricted, as formerly supposed, to the Lower Dorashamian. The brachiopods span from Dzhulfian in the Bükk Mts., Lower Dorashamian in Transcaucasia, to a more likely Upper Dorashamian in the Southern Alps and Transdanubian Central Range. In these latter two localities a characteristic Comelicania assemblage (C. megalotis group and C. ladina group) occurs very close to the P/T boundary from sections in which the formational contact is considered transitional, both from lithological and paleontological points of view.
The gen. Spitispirifer Waterhouse & Gupta, 1986 from the Spiti section is here considered a junior synonym of Comelicania Frech, 1901.
LA FORMAZIONE Dl GORNO NEI DINTORNI Dl DOSSENA E Dl GORNO (PREALPI BERGAMASCHE) ANALISI Dl UNA LAGUNA TRIASSICA
Authors: GNACCOLINI MARIO 
Published: November 2023

A Triassic lagoon has been identified in the Bergamasc Alps, northern Italy. It is bordered, to the south, by a volcanic mainland, with fluviatile and deltaic depositional systems, and northwards by a peritidal carbonate platform. The Triassic lagoon is characterized by mixed terrigenous and carbonate sedimentation. Four main zones have been distinguished:
Zone 1a is situated near the mouthes of the rivers and corresponds to the subaqueous part. of the delta. Feldspatic litharenites and siltstones prevail in this area.
Zone lb represents near—shore lagoonal areas situated far from the "entry—points" of the sands. This zone is characterized by intrabacinal carbonate deposits (oolitic grainstones are relatively frequent). Terrigenous mudstones are also frequent, whereas hybrid arenites and feldspatic litharenites are subordinate.
Zone II is the transition zone between the area la and the central part of the lagoon. Terrigenous mudstones and intrabacinal carbonate packstones, wackestones and mudstones prevail. Feldspatic litharenites are locally frequent.
Zone III represents the central part of the lagoon and is almost exclusively characterized by wackestones, carbonate mudstones and marls,
DEPOSITI DELTIZI PLIOCENICI ALLO SBOCCO DELLA VAL BREMBANA (PREALPI BERGAMASCHE)
Authors: CORSELLI C. , GNACCOLINI M. , OROMBELLI G. 
Published: November 2023

At the outlet of the Brembo valley into the upper Lombardy Plain a conglomerate unit is present, about 30 m thick and outcropping over an area of about 1.5 km 2 . This conglomerate was in the past attributed to the Villafranchian and considered as the lowermost part of the "Ceppo", a thick and widespread formation composed of well cemented coarse fluvial deposits.
The conglomerate unit here described, called Madonna del Castello Conglomerate, is interpreted as a Late Pliocene deltaic deposit. It shows a large scale cross—stratification affecting the whole thickness of the unit; single beds show decreasing gradient from the top to the base, with a concave up profile. Beds are prevailingly composed of matrix supported conglomerate, with elongated clasts parallel to the dip of bedding. Both geometry and structures are indicative of foreset beds.
The petrographic composition of the Madonna del Castello Conglomerate is characterized by prevailing clasts of Mesozoic limestones of local provenance, while subordinate and often absent are metamorphic, volcanic and arenaceous rocks deriving from the Sudalpine crystalline basement and from its Paleozoic cover, which outcrop at the head of the Brembo valley.
The Madonna del Castello Conglomerate overlies Early to Middle Pliocene fossiliferous mudstones (Tornago Formation) and represents a terminal regressive phase of the marine Pliocene sedimentation at the foot of the Lombardy Prealps.
AMMONITI NELLA PIATTAFORMA LIASSICA VENETA
Authors: MIETTO PAOLO 
Published: November 2023

Three specimens of Ammonites have been newly found in the Calcari Grigi Fm. (Lower and Middle Liassic). At present the total amount of known Ammonite specimens in the western part of the Venetian Liassic Carbonate Platform is at least of six.
The occurrence of Ammonites ln an unfavourable environment suggests a post—mortem transport from the adjacent Lombardian Basin.
CATALOGO DEGLI OLOTIPI DEPOSITATI PRESSO IL MUSEO Dl PALEONTOLOGIA Dipartimento di Scienze della Terra Università degli Studi di Milano
Authors: RINETTI SCHIROLI L. 
Published: November 2023

Viene dato l'elenco degli "Olotipi" fino ad ora presenti nelle collezioni del Museo di Paleontologia — Dipartimento di Scienze della Terra — Universita degli Studi di Milano.
Nel catalogo per ogni entità tassonomica sono indicati: nome del genere secondo la designazione originale nome della specie nome dell'autore della specie data di pubblicazione citazione bibliografica completa del lavoro con riferimento alla descrizione e all'illustrazione originale dell'olotipo eta ubicazione geografica precisa numero d'inventario ed indicazione della collezione originale.
FONOAUDIOLOGIA NA INTRODUÇÃO ALIMENTAR DE CRIANÇAS COM FISSURA LABIOPALATINA
Authors: Marques Luslane Silva , Motta Priscila de Paula , Amorim Berteson Jorge Leite 
Published: November 2023

A fissura labiopalatina é uma condição congênita que envolve uma abertura nos lábios superiores e/ou no palato, o que pode afetar a alimentação e a nutrição adequada do bebê, a introdução alimentar em bebês com fissura labiopalatina exige cuidados específicos e uma equipe multidiciplinar para garantir que a criança receba a nutrição adequada e melhore habilidades alimentares. O principal objetivo do fonoaudiólogo é avaliar, diagnosticar e tratar os problemas de comunicação oral, deglutição e alimentação que podem estar associados a essa condição. Métodos: Este estudo consiste em uma revisão bibliográfica de literatura que abrange publicações em revistas nacionais e internacionais listados nas base de dados das ciências em saúde Biblioteca Virtual em Saúde (BVS), PubMed, CoDAS (Communication Discordrs, Audiology and Swallowing), Scielo (Scientific Eeltronic Library Onliny). Também foi utilizada a ferramenta Google Acadêmico por possuir uma ampla biblioteca eletrônica com diversas pesquisas científicas. Resultados: O resultado deste estudo bibliográfico destaca a importância do cuidado multidisciplinar no manejo da fissura labiopalatina em bebês, destacando o papel fundamental do fonoaudiólogo no processo de alimentação e comunicação. Conclusão: A introdução alimentar cuidadosa, com o apoio do fonoaudiólogo, contribui para minimizar complicações nutricionais e promover o desenvolvimento de habilidades essenciais. Além disso, o fonoaudiólogo ajuda a construir uma relação positiva com os alimentos e fortalecer a autoestima da criança, tornando-se um elemento crucial no cuidado integral desses pacientes.
​​​LIBERDADE DE EXPRESSÃO E FAKE NEWS
Authors: Agrello Neto Albérico , Ferrari Cezar , Do Espírito Santo Claudia , Batista Pereira Filho Rainel 
Published: November 2023

O presente texto investiga o fenômeno da desinformação, que atualmente se utiliza do suporte da grande rede para disseminar informações falsas, como um verdadeiro vírus que polui o espaço público de discussão, gerando grandes prejuízos para o consenso acerca da facticidade no seio da sociedade. Assim, busca-se inserir a discussão dentro das balizas legais da liberdade de expressão e da interpretação que os tribunais superiores vêm adotando em relação à conceituação e ao tratamento do fenômeno perscrutado. Para tanto, utilizou-se revisão bibliográfica no âmbito nacional e alienígena, utilizando-se do método hipotético-dedutivo.
DAMPAK PROGRAM SEKOLAH TERHADAP KUALITAS PESERTA DIDIK DI SEKOLAH MENENGAH PERTAMA KRISTEN TUNAS BANGSA GADING SERPONG TANGERANG
Authors: Burhan Farudin 
Published: November 2023

One of the aims of Christian schools in Indonesia is to educate and shape students to have character and conduct in line with the teachings of Christ. However, the actual situation in the field does not seem to reflect the "fruits" of Christian education. Therefore, Christian school programs need further examination, including counseling programs, worship strategies, and their impact on the quality of students. This research aims to investigate the relationship between counseling, worship strategies, and student quality at SMP Kristen Tunas Bangsa, Gading Serpong. The study employs a quantitative approach with a survey method. Data collected are primary data gathered through questionnaire responses from participants. The results indicate a significant correlation between counseling and student quality, as well as between worship strategies and student quality. This emphasizes the importance of the roles of counseling and worship strategies in shaping the character and quality of students in line with Christian values. This research provides a significant contribution to understanding the relationship between counseling, worship strategies, and student quality at SMP Kristen Tunas Bangsa, Gading Serpong.

Salah satu tujuan dari adanya Sekolah kristen di Indonesia adalah untuk mendidik dan membentuk peserta didik agar memiliki karakter dan perbuatan sesuai dengan ajaran Kristus. Namun, yang terjadi di lapangan sama sekali tidak menunjukkan adanya “buah” dari pembelajaran dan didikan Kristen tersebut. Dengan demikian, program sekolah Kristen haruslah diteliti lebih lanjut baik dari program konseling, program ibadah, serta pengaruhnya terhadap kualitas Peserta Didik. Penelitian ini bertujuan untuk menyelidiki hubungan antara bimbingan konseling, strategi ibadah, dan kualitas peserta didik di Sekolah Menengah Pertama Kristen Tunas Bangsa, Gading Serpong. Penelitian ini menggunakan pendekatan kuantitatif dengan metode survei. Data yang dikumpulkan berupa data primer melalui pengisian kuesioner oleh responden. Hasil penelitian ini menunjukkan bahwa terdapat hubungan yang signifikan antara bimbingan konseling dan kualitas peserta didik, serta antara strategi ibadah dan kualitas peserta didik. Dengan demikian, hal ini menunjukkan pentingnya peran bimbingan konseling dan strategi ibadah dalam membentuk karakter dan kualitas peserta didik yang sesuai dengan nilai-nilai Kristen. Penelitian ini memberikan kontribusi penting dalam pemahaman mengenai hubungan antara bimbingan konseling, strategi ibadah, dan kualitas peserta didik di Sekolah Menengah Pertama Kristen Tunas Bangsa, Gading Serpong.
Application of Squishy Intervention With Combination Active ROM To Increase Muscle Strength Hands On Stroke Patient
Authors: Irgi Biantara  , Arif Wahyu Setyo Budi  , Nurchayati Nurchayati  , Puspitowarno Puspitowarno  , Fitnaningsih Endang Cahyawati  
Published: November 2023

Introduction– Stroke is a non-communicable disease that has an impact on the loss of motor skills in the extremities. One intervention that can overcome this problem is the application of squishy with a combination of active ROM.
Purpose– The purpose of this case study was to conduct nursing care on the application of squishy intervention to increase hand muscle strength in stroke patients. Methodology/Approach – The method used in writing is a case report which was carried out for 6 days with Active ROM combination squishy intervention.
Findings– The results of this scientific work show that with the active ROM combination squishy intervention for 6 days, there is a significant increase in muscle strength in the right upper extremity before the intervention is worth 2 and after the intervention is worth 4.
Conclusion– The effectiveness of the application of nursing care standards in increasing muscle strength given to patients shows a change in muscle strength on the third day to the fifth day with a muscle strength value of 3 and the sixth day with a muscle strength value of 4.
Analisa Resiko Kecelakaan Kerja Karyawan Menggunakan Metode Hazard and Operability (HAZOP) di PT PJB Services PLTU Tembilahan
Authors: Rahmanto Irfan , Ihsan Hamdy Muhammad 
Published: November 2023

Kesehatan dan keselamatan kerja (K3) merupakan sarana untuk mencegah kecelakaan, cacat, dan kematian sebagai akibat dari kecelakaan kerja. Keselamatan Kerja (safety) merupakan suatu keadaan para pekerja terjamin keselamatan pada saat bekerja baik itu menggunakan mesin, pesawat, alat kerja, proses pengolahan juga tempat kerja dan lingkungannya juga terjamin. Penelitian ini dilakukan di PT. PJB Services PLTU Tembilahan bertujuan untuk mengidentifikasi jenis-jenis kecelakaan kerja dan meminimalisir terjadinya kecelakaan kerja pada proses produksi energi listrik. Analisa data dilakukan dengan teknik analisa data secara deskriptif dengan metode Hazard and operabilty (HAZOP). HAZOP adalah sebuah teknik analisis bahaya yang digunakan dalam mempersiapkan dan menetapkan keamanan pada sebuah sistem baru atau modifikasi untuk sebuah keberadaan potensi bahaya atau masalah operabilitasnya, maka tingkat bahaya dan resiko bahaya dilapangan dapat dianalisa dengan melalui analisa likelihood, consenquences, kemudian hasilnya dimasukkan kedalam skala Risk Matrix. Hasil dari penelitian, telah ditemukan bahwa sikap pekerja dalam bekerja memiliki tingkat risiko yang tinggi dan potensi bahaya yang kemudian digolongkan menjadi sumber bahaya yang memiliki resiko ekstrem, tinggi, sedang dan rendah. Adapun saran yang diberikan untuk mengatasi bahaya tersebut antara lain : penyediaan alat pelindung diri, dan sistem pemadam kebakaran pada masing – masing sektor di perushaan dan melakukan pelatihan pelatihan keselamatan dan kesehatan kepada para pekerja untuk mendapatkan tenaga kerja yang profesional dan paham terhadap penting nya kesehatan dan keselamatan Kerja.

Kata kunci: Likelihood, Consequences, Risk Matrix, Hazard and operability