bluuebunny/crossref_metadata_2025_split huggingface dataset:
Transformation and Articulation of Clinical Data to Understand Students’ and Health Professionals’ Clinical Reasoning: Protocol for a Scoping Review
Authors: Deschênes Marie-France , Fernandez Nicolas , Lechasseur Kathleen , Caty Marie-Ève , Azimzadeh Dina , Mai Tue-Chieu , Lavoie Patrick 
Published: November 2023

Background
There are still unanswered questions regarding effective educational strategies to promote the transformation and articulation of clinical data while teaching and learning clinical reasoning. Additionally, understanding how this process can be analyzed and assessed is crucial, particularly considering the rapid growth of natural language processing in artificial intelligence.

Objective
The aim of this study is to map educational strategies to promote the transformation and articulation of clinical data among students and health care professionals and to explore the methods used to assess these individuals’ transformation and articulation of clinical data.

Methods
This scoping review follows the Joanna Briggs Institute framework for scoping reviews and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) checklist for the analysis. A literature search was performed in November 2022 using 5 databases: CINAHL (EBSCOhost), MEDLINE (Ovid), Embase (Ovid), PsycINFO (Ovid), and Web of Science (Clarivate). The protocol was registered on the Open Science Framework in November 2023. The scoping review will follow the 9-step framework proposed by Peters and colleagues of the Joanna Briggs Institute. A data extraction form has been developed using key themes from the research questions.

Results
After removing duplicates, the initial search yielded 6656 results, and study selection is underway. The extracted data will be qualitatively analyzed and presented in a diagrammatic or tabular form alongside a narrative summary. The review will be completed by February 2024.

Conclusions
By synthesizing the evidence on semantic transformation and articulation of clinical data during clinical reasoning education, this review aims to contribute to the refinement of educational strategies and assessment methods used in academic and continuing education programs. The insights gained from this review will help educators develop more effective semantic approaches for teaching or learning clinical reasoning, as opposed to fragmented, purely symptom-based or probabilistic approaches. Besides, the results may suggest some ways to address challenges related to the assessment of clinical reasoning and ensure that the assessment tasks accurately reflect learners’ developing competencies and educational progress.

International Registered Report Identifier (IRRID)
DERR1-10.2196/50797
MATERNAL AND FETAL OUTCOMES IN HYPOTHYROID PREGNANT WOMEN: INSIGHTS FROM A HOSPITAL-BASED STUDY IN MANDI, HIMACHAL PRADESH
Authors: DONKA BHARGAVI , MAHAJAN HEMENDER , SHARMA NALNEESH 
Published: November 2023

Objective: Thyroid disorders significantly impact maternal and fetal health during pregnancy, with thyroid hormone balance being crucial for fetal development. Hypothyroidism, a common disorder among women of childbearing age, can lead to adverse pregnancy outcomes, including subtle thyroid dysfunction and autoimmune conditions. Diagnosing thyroid disorders in pregnancy is challenging due to overlapping symptoms with normal pregnancy changes and various contributing factors.
Methods: In this prospective observational study conducted in Mandi, Himachal Pradesh, we focused on pregnant women attending the first-trimester antenatal clinic. Inclusion criteria comprised pregnant women aged 18 or older, regardless of their gravidity and parity, who provided informed consent. Exclusions were made for comorbidities such as diabetes, hypertension, renal or liver disease, multifetal gestation, and previous bad obstetric history. A total of 300 hypothyroid pregnant women were selected through convenience sampling. We assessed serum thyroid-stimulating hormone (TSH) levels using chemiluminescent microplate immunoassay (CMIA) and administered adequate L thyroxine treatment to maintain TSH levels below 2.5 mIU/l.
Results: Maternal outcomes exhibited variation, with common delivery methods being cesarean sections (both emergency and elective) and normal vaginal deliveries. Some pregnancies faced complications, including gestational diabetes mellitus, preterm birth, and placenta previa. Neonatal outcomes ranged from healthy newborns to those with low Apgar scores, intrauterine demise, low birth weight, and stillbirth. Adequate treatment with L thyroxine was observed in 60.6% of cases, emphasizing the need for improved hypothyroidism management during pregnancy.
Conclusion: Our study underscores the diversity of maternal and neonatal outcomes associated with hypothyroidism during pregnancy in a hilly region of India. Early detection, comprehensive antenatal care, and optimal thyroid hormone management are vital to minimize complications and promote the well-being of both mothers and newborns. Further research and awareness campaigns are essential for enhancing thyroid disorder screening and management in pregnancy.
EXPLORING THE POTENTIAL OF 3D PRINTING IN PHARMACEUTICAL DEVELOPMENT
Authors: KURIL ANJALI , AMBEKAR ANJU , NIMASE BHARATI , GIRI PRACHI , NIKAM PRAJWAL , DESAI HARITA , AHER SHUBHANGI 
Published: November 2023

Pharmaceuticals have been transformed by additive manufacturing, often known as three-dimensional printing (3DP) a disruptive technology. The concept of additive manufacturing is examined, with a focus on its potential for quick prototyping, cost savings, and development of customized medicines. In the pharmaceutical industry 3DP is used to develop numerous dosage forms and drug delivery systems including oral films, controlled-release tablets and transdermal patches. It also makes it possible to produce specialized medical prosthetics, implants and gadgets. The applications of various 3DP types such as material extrusion, material jetting, binder jet printing and powder-based procedures like selective laser sintering, are thoroughly covered. This review assesses the compatibility of the common 3DP materials for pharmaceutical applications including hydroxypropyl methylcellulose, hydroxypropyl cellulose, Carbopol and Eudragit. This review article forecasts 3DP prospects and shortcomings. The technology's continued development and use in the pharmaceutical industry and other industries will depend on overcoming regulatory challenges, creating standardized procedures and optimizing material alternatives. By tackling these issues 3DP has a great deal of potential to revolutionize personalized medicine, medical device production and variety of other industries ultimately leading to better patient outcomes and healthcare solutions. Types and principles, materials, applications, scalability, regulatory compliance and potential future challenges are discussed in this review paper.
EXPLORING THE QUALITY OF LIFE OF PARENTS AND SIBLINGS OF CHILDREN WITH CEREBRAL PALSY: IMPLICATIONS FOR CAREGIVING AND SUPPORT
Authors: KOTIYA VIDHI , CHOUDHARY RICHA , YADAV ANJU 
Published: November 2023

Objective: This study aimed to explore the quality of life (QOL) of parents and siblings of children with cerebral palsy (CP) and its implications for caregiving and support.
Methods: A hospital-based cross-sectional descriptive study was conducted in the Department of Pediatrics, S. P. M. C. H. I. Hospital, SMS Medical College, Jaipur, India, from March 2021 to December 2021. Parents and siblings of children with CP, aged 2-12 y, were enrolled. The World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire was used to assess QOL. Data analysis was performed using descriptive statistics and SPSS software.
Results: The study included 100 parents and siblings of children with CP. Most children had normal birth weight and were born at term. Spastic quadriplegia was the most common type of CP observed. More than half of the children had other medical conditions, with epilepsy being the most prevalent. WHO-QOL BREF scores were low across all domains. Physical domain was the most affected (9.97±2.15), followed by Social interaction domain (10.48±2.32) and psychological domain (10.83±2.26) and Environment domain (11±2.23). The age and gender of the child, severity of disability, education of caretakers, family type, socioeconomic status, chronic illness did not significantly impact the QOL of caregivers. Caregivers with impaired functional status reported lower QOL scores. Meeting scheduled appointments positively influenced caregivers' physical and environmental domain scores.
Conclusion: The caregivers of children with CP experience lower quality of life and high levels of stress. If sustained over time it can affect family dynamics and quality of care provided to such children with CP. The implications of these findings can guide the development of targeted interventions and support programs for caregivers of children with CP.
DEVELOPMENT OF EFINACONAZOLE NAIL GEL FOR THE TREATMENT OF ONCHOMYCOSIS
Authors: SUNDARI IVATURI BALA TRIPURA , KALVA SIREESHA , BINDU MALAVIKA 
Published: November 2023

Objective: The present research has been undertaken with the aim to develop a topical nail gel formulation of Efinaconazole. Efinaconazole is considered highly desirable to treat common nail disorders such as Onychomycosis due to localized effects and improved adherence. Efinaconazole topical gel preparations are not yet available in the market thus, this formulation is made for better patient compliance. Efinaconazole nail gel is formulated with unique ingredients added to an alcohol-based formulation to provide low surface tension and good wetting properties.
Methods: The nail gels were formulated by using different gelling agents. Various formulations [F1-F10] were developed using a suitable polymer [Carbopol-934, Xanthan gum, CMC]. The formulations were evaluated for pH, viscosity, spreadability, % Drug content, extrudability, stability testing, in vitro drug diffusion studies, and in vitro antifungal activity.
Results: The results showed that Efinaconazole nail gel had good antifungal activity. Viscosity studies and pH studies revealed that formulation F2 was better when compared to other formulations. Results indicate that the 0.75% concentration of carbopol-934 is the ideal among other formulations.
Conclusion: It was concluded that formulation F2, containing a 0.75% concentration of Carbopol-934 was the best formulation of all.
HİTİT MÜZİĞİ DİZİLERİ İLE TÜRK MÜZİĞİ DİZİLERİNİN ‘ARALIK’ ESASINA GÖRE KARŞILAŞTIRMALI ANALİZİ
Authors: PELİKOĞLU Mehmet Can , AKARSU Sedat Selçuk 
Published: November 2023

Bu çalışmada, Anadolu coğrafyasında M.Ö. 1650-1190 yıları arasında varlık göstermiş Hitit uygarlığı hakkında günümüze ulaşmış kaynaklardan tespit edilmiş Hitit müziği dizileri ile Türk Makam müziğinde kullanılan dizilerin karşılaştırılması amaçlanmıştır.
Araştırmada aşamalı olarak; betimsel araştırma yöntemi, belgesel tarama modeli kullanılmıştır. Her iki müzik türünün dizilerinin karşılaştırılmasında, özgün yapıyı belirleyici ve ayırt edici kıldığından ‘aralık’ kavramına odaklanılmıştır. Hitit müziği dizileri çalgı ile seslendirilerek o dizi içerisindeki melodik işleyişin kulakta bıraktığı makam hissi ve makam etkisi konunun uzmanı kişilerin görüşü de alınarak değerlendirilmiştir. Türk Makam müziğinde kullanılan diziler ile Hitit müziği dizilerinin karşılaştırılmalı sistemsel analizi yoluyla benzer ve farklı yönleri ortaya konulmaya çalışılmıştır
Elde edilen bulgulara göre toplamda yedi (7) Hitit dizisi tespit edilmiştir. Bu diziler inici çıkıcı şekillerine göre Türk müziği dizileri ile karşılaştırılmıştır. Hitit dizilerinin bazılarının inici halleri ile çıkıcı hallerinin Türk müziğinde farklı makam dizilerine karşılık geldiği görülmüştür. Tespit edilen makamların “Kürdi, Muhayyer Kürdi, Buselik, Çargâh ve Segâh” makam dizileri ile benzer olduğu sonucuna varılmıştır.
Predisposing and Precipitating Factors of Schizophrenic Clients with the Risk of Violent Behavior and Hallucination
Authors: Budiarto Eka , Rahayu Rita , Fitriani Nurlaila 
Published: November 2023

The management of schizophrenia clients especially those who are at risk of violent behavior and hallucinations clients, its takes a long time. The management can be successful if it focuses on redisposing and precipitation factors. This study aimed to determine the predisposing and precipitation clients of risk factors for violent behavior and hallucinations. This research was descriptive analytic study. The sample was obtained with a total sampling of 48 respondents who met the inclusion criteria. Data were collected using a checklist of predisposing and precipitation factors and analyzed by frequency distribution. The predisposing factors found that caused schizophrenic clients to experience the risk of violent behavior and hallucinations were history of previous mental disorders (72.9%), unpleasant experiences and negative self-concept (100%) and the condition of clients who did not work (79.2%). Most of the precipitation factors found were drug withdrawal (50%), problem solving was 41.7%, and not working which reached 66.7%. Clients with schizophrenia who are at risk of violent behavior and hallucinations can be managed properly by considering the predisposition and precipitation that triggers the client to experience schizophrenia and relapse.
SERVITIZAÇÃO: UM ESTUDO QUALITATIVO GENÉRICO EM UMA INDÚSTRIA DE MÉDIO PORTE DA SERRA GAÚCHA
Authors: Tartarotti Lucas , Moreira Luis Fernando , De Toni Deonir 
Published: November 2023

A visão estratégica das organizações industriais vem migrando de um foco restrito em produtos, para o atendimento do mercado com ofertas que integram bens e serviços oferecendo uma solução completa para o cliente. Essa mudança de visão pode gerar diversas vantagens para a organização, entretanto, trata-se de um processo complexo. Neste sentido, define-se a servitização como tema de pesquisa. Foi realizado um estudo qualitativo genérico com uma indústria familiar de médio porte da Serra Gaúcha. Como objetivo buscou-se compreender a servitização nos processos da empresa. Como resultado teórico compreendeu-se a relação dos processos, dos colaboradores e estratégias relacionadas com o processo de servitização. Também se evidenciou as visões de diferentes agentes dentro da organização sobre o tema. Como implicação gerencial, o artigo apresenta a matriz SWOT do estudo qualitativo genérico, servindo como orientação estratégica não apenas para a empresa pesquisada, mas para as demais indústrias que buscam avaliar a relação custo-benefício da servitização na prática empresarial.
IDENTIFIKASI ETNOSAINS DALAM KEARIFAN LOKAL MALOMANG SEBAGAI SUMBER BELAJAR IPA
Authors: Ardana Hartica Putri , Ilhami Aldeva , Diniya Diniya , Munawwarah Munawwarah 
Published: November 2023

This study aims to identify the process of making ethnofood lomang and the scientific elements contained in this traditional food culture. The research used is descriptive qualitative research with a case study method or approach. Data collection techniques using observation and interview methods. The results of the study show local wisdom to know the process of making lomang. The process of making lomang through several stages. Among them are the selection of tolang bamboo and banana shoots, and the washing of tolang bamboo and pulut rice. Furthermore, before the roasting process, the lamang to be burned must be given coconut milk and first tied the top of the excess banana leaf at the base of the bamboo. Keywords : Local Wisdom, Ethnoscience, Ethnofood for Making Lomang, Science Learning
Profile of Prospective Teachers Based on 3R Eco Lifestyle: Case Study of Biology Education Students at Riau Islamic University
Authors: Suryanti Suryanti , Ferazona Sepita , Hajar Ibnu , Mahendra Reza 
Published: November 2023

Eco-lifestyle should be started from ourselves, participation is needed to support an environmentally friendly lifestyle. This research is intended to find out the 3R-based Eco-lifestyle Profile of Biology Education Students at Riau Islamic University Pekanbaru by employing survey methodology. The population consisted of 124 students of Biology Education Faculty of Education and Teacher Training Riau Islamic University Pekanbaru. The sampling process was carried out using a saturated sample method where the entire population was used as a sample. The instrument used is a closed questionnaire, containing questions that have been validated by material experts. The empirical test of the questionnaire obtained is carried out reliability test using the IBM SPSS Statistics 20 program. The reliability test uses the Alpha Cronbach technique with the SPSS 22 program. Distribution of the questionnaire to students is performed by utilizing Google form, containing 3 indicators of Reduce, Reuse, and Recycle totaling 30 questions. By using a Likert scale, it was obtained three categories such as strongly agree, agree, and disagree where respondents are asked to give a checklist mark (√) to fill out the questionnaire. The data collection technique used a questionnaire, qualitative descriptive data analysis, and data on the results of respondents' answers using the IBM SPSS Statistics 20 program. The research data obtained a value of Reduce 77.32, Reuse 79.56, and Recycle 77.39 good categories. The average (Reduce, Reuse, Recycle) obtained a value of 78.09 good category. It is concluded that the 3R-based Eco-lifestyle profile of Biology Education students at Faculty of Education and Teacher Training Islamic University of Riau Pekanbaru is in the good category. Keywords: Eco-lifestyle, Profile, 3R
Optimizing Broiler Production in Urban Area Using Liquid Premix
Authors: Anggraini Apriliana Devi , Mulatmi Septi Nur Wulan , Ismail Akhis Sholeh , Aji Lutfi Bayu Sidi , Yovanda Mochammad Fariz 
Published: November 2023

High temperature in narrow areas can cause heat stress in broiler. In this condition, broiler performance will decrease, so efforts are needed to deal with these negative impacts. One of them is by providing premix as a supplement. This study aims to find the best dose of commercial premix containing vitamins C, E, and micronutrients to improve the performance of broilers reared in areas with ambient temperatures above thermoneutral. The study used a total of 160 Cobb strains day old chick (DOC) with 4 treatments and 5 replications. Each replication consisted of 8 chicks. The treatment was a premix dose consisting of P0 (0 mL); P1 (0.1 mL); P2 (0.15 mL); and P3 (0.20 mL). The ambient temperature was 29-30 °C and 70% humidity. The observed data were the body weight, the average body weight gain, feed consumption, water consumption intake, and feed conversion ratio (FCR). The data c were analyzed by completely randomized design. Results of this study showed that the use of premix as a feed supplement did not significantly different (P>0.05) on the broiler performance. The average body weight gain at 28 days was 1689 grams, 132 grams of feed intake, 320 mL of drinking intake, and FCR 1.55. The use of premix with dose up to 0.20 mL as a feed supplement for broiler in narrow areas has not shown a significant improvement in performance.
Media Pembelajaran Articulate Storyline 3 untuk Memfasilitasi Kemampuan Pemecahan Masalah Matematis Siswa SMP
Authors: Aurelia Miska Elsi , Heleni Susda , Murni Atma 
Published: November 2023

Tujuan penelitian pengembangan ini yakni menciptakan produk berbentuk media dengan menngunakan Articulate Storyline 3 dilengkapi panduan kategori sangat valid dan sangat praktis. Media ini sebagai sumber belajar bagi siswa kelas VIII untuk memfasilitasi kemampuan pemecahan masalah matematis (KPMM) materi sistem persamaan linier dua variabel (SPLDV). Penelitian ini menerapkan model ADDIE dengan lima tahapan yaitu: Analysis, Design, Development, Implementation, dan Evaluation. Analisis dilakukan dengan wawacara, observasi, dan penyebaran angket. Tiga validator memvalidasi media pembelajaran beserta panduan. Instrumen validitas panduan media dan instrumen validitas media pembelajaran berfungsi sebagai sarana. Rata-rata nilai validasi media pembelajaran yang didapatkan yaitu 3.47 termasuk kategori sangat valid, serta untuk nilai validasi panduan media yang didapatkan adalah 3.43 termasuk kategori sangat valid. Enam siswa kelas VIII.5 MTs 1 Pekanbaru merupakan subjek uji coba produk umtuk menggunakan instrumen angket respon siswa. Perolehan uji coba produk yang didapatkan adalah 0.99 termasuk kategori sangat praktis
Pelatihan Pembuatan Pakan Fermentasi Berbasis Tanaman Tebu Untuk Ternak Ruminansia Di Desa Pilangsari Kabupaten Majalengka
Authors: Christi Raden Febrianto , Salman Lia Budimulyati , Sudrajat Ajat 
Published: November 2023

Pakan hijauan merupakan makanan yang diberikan untuk ternak ruminansia yang ketersediaanya terbatas. Keterbatasan tersebut perlu mencari alternatif untuk menanggulangi ketersediaan tersebut dengan pembuatan pakan fermentasi. Tebu merupakan salah satu jenis tanaman yang limbahnya sangat potensial sebagai pakan ternak. Tujuan dari pelatihan ini adalah untuk meningkatkan perekonomian masyarakat melalui pemanfaatan limbah tebu dengan cara pengolahan fermentasi untuk pakan ternak ruminansia. Kegiatan pengabdian ini dilakukan melalui beberapa tahapan yaitu observasi lapangan, studi literatur, penyuluhan, demonstrasi. Penyuluhan telah dilakukan di Desa Pilangsari Kecamatan Jatitujuh, Kabupaten Majalengka yang dihadiri oleh 20 orang peserta yang terdiri atas berbagai kelompok umur, lalu dilanjutkan dengan demonstrasi. Hasil menunjukkan terjadi peningkatan pengetahuan dan praktek pembuatan pakan fermentasi dengan memanfaatkan limbah tanaman tebu. Kesimpulan bahwa pelatihan memberikan peningkatan pengetahuan dan praktek pembuatan pakan fermentasi dalam proses silase guna peningkatan perekonomian masyarakat.
Counseling on Oil Bodies Utilization and Mangrove Seed Conservation in Pramuka Island, North Thousand Islands District, Thousand Islands Regency
Authors: Pasaribu Buntora , Fellatami Kalysta , Dewanti Lantun P. , Faizal Ibnu 
Published: November 2023

Oil bodies play an important role in storing energy in plants and animals. The structure of oil bodies consists of triacylglycerol surrounded by a layer of phospholipids and bound by unique proteins. Oil bodies are widely found in various organisms such as algae, soil plant, water seeds plants, flowers, pollen, and animals. Mangrove seeds, also known as "bakau" plants, are a unique aquatic plant that can grow in water bodies throughout the world, including Indonesia, which has a high oil content of 40-70%. Mangrove seeds are a potential alternative biomass that can be used for biodiesel material. Therefore, the aim of this community service is to provide education on the oil bodies found in mangroves and the conservation of mangrove seeds, in the form of mangrove mitigation on Pramuka Island. This outreach program can provide knowledge to the community, particularly mangrove farmers on Pramuka Island, on how to utilize mangrove seeds as alternative food and biofuel sources to improve their future economic income. This outreach program also educates the local community to preserve the mangrove seeds for their sustainability in the future.