bluuebunny/crossref_metadata_2025_split huggingface dataset:
Delayed cord clamping versus cord milking in vigorous neonates ≥35 weeks gestation born via cesarean: A Randomized clinical trial
Authors: Murali Mithuna , Sethuraman Giridhar , Vasudevan Jaishree , Umadevi L. , Devi Usha 
Published: November 2023

BACKGROUND: Delayed cord clamping (DCC) is the recommended strategy in neonates not requiring resuscitation, but umbilical cord milking (UCM) can also be used in term babies. DCC has been found to offer advantages more than just placental transfusion. OBJECTIVE: To compare the neonatal outcomes of DCC and UCM at birth in vigorous neonates ≥35 weeks born via cesarean section. METHODS: We included all vigorous neonates born ≥35 weeks of gestation through the cesarean section in this open-label randomized controlled trial. They were randomized into Group-A (DCC-cord was clamped 60 s after birth) or Group B(UCM). For neonates in Group B, the intact cord was milked at 25 cm from the stump 3 times towards the neonate and then clamped. The primary outcome was hematocrit at 72 h of life. Secondary outcomes were serum ferritin between 6 and 10 weeks of life, serum bilirubin at 72 h of life, need and duration of phototherapy, respiratory distress, hypoglycemia, hypotension, and sepsis. RESULTS: Baseline characteristics were similar in both the groups. The mean hematocrit at 72 h was more in the DCC group compared to the UCM group [(55.60±4.50) vs (53.89±4.44), MD (95% CI) = 1.71 (0.26, 3.16); p = 0.021]. There was no significant difference in median serum ferritin between the groups [102.88(84.67–173.24) vs 137.93(85.15–230.40); p = 0.173]. There was no significant difference in clinical outcomes. CONCLUSION: In neonates born via cesarean section, DCC resulted in improved hematocrit levels by 72 hours compared to UCM. DCC results in better placental transfusion.
Neural mechanosensitivity findings in patients with adhesive capsulitis
Authors: Matsui Kazuhisa , Suzuki Risako , Nakai Keiko , Kuwashima Runa , Tachibana Takashi 
Published: November 2023

BACKGOURND: The pathophysiology of adhesive capsulitis may be associated with increased neural mechanosensitivity in upper limb neurodynamic test. OBJECTIVE: To investigate the findings of neurodynamic assessment in patients with more than four month history of adhesive capsulitis. METHODS: Thirty-five patients with more than four month history of adhesive capsulitis were participated in this study. A physiotherapist performed the Upper Limb Neurodynamic test 1 procedure on the participant’s upper limb. Elbow extension range of motion at the end of the Upper Limb Neurodynamic test 1 was compared with the participant’s elbow extension at the end of Upper Limb Neurodynamic test 1 performed on the opposite upper limb and to elbow extension on the symptomatic side performed with the arm by the side. RESULTS: The intensity of pain in Upper Limb Neurodynamic test 1 increased with lateral flexion of the neck to the unaffected side and eased with lateral flexion to the affected side in all participants. A marked restriction of the elbow passive extension range of motion in Upper Limb Neurodynamic test 1 on the affected side (–54.6±17.8°) compared to the unaffected side was found (–7.3±10.7°) ( p < 0.001). CONCLUSIONS: Restriction of elbow passive extension range of motion at the end of the Upper Limb Neurodynamic 1 test reproduced patients’ familiar adhesive capsulitis associated pain and the pain changed with structural differentiation using cervical lateral flexion. Neurodynamic assessment may need to be considered to assess neural mechanosensitivity in patients with adhesive capsulitis.
HUBUNGAN NILAI-NILAI AGAMA ISLAM DENGAN KEBIASAAN POLA HIDUP SEHAT
Authors: Laksana Sigit Dwi , Sumaryanti Lilis 
Published: November 2023

Abstract: Health topic has been popular again recently, this is supported by the adaptation of new habits (new normal) that were implemented after the world was hit by pandemic. This article describes the relationship between Islamic religious values and healthy lifestyle habits originating from verses Al-Qur'an and Hadith of the Prophet Muhammad Shallallahu 'Alaihi Wasallam. The method used is library research, carried out by collecting and researching data from books or writings that are in accordance with the discussion into primary sources and secondary sources. The results of this study are based on the research of two books with the same theme, namely there is a relationship between Islamic religious values and a healthy lifestyle. This is in accordance with what has been explained by health experts and even the World Health Organization (WHO), which must balance physical (physical) health and mental (spiritual) health to carry out activities in the world. Keywords: Islamic values, Healthy Lifestyle, Health Abstrak: Topik kesehatan kembali populer akhir-akhir ini, hal ini didukung dengan adanya adaptasi kebiasaan baru (new normal) yang diterapkan pasca dunia dilanda pandemi. Penelitian ini bertujuan menguraikan hubungan nilai-nilai agama Islam dengan kebiasaan hidup sehat yang bersumber dari ayat Al-Qur'an dan Hadits Nabi Muhammad Shallallahu 'Alaihi Wasallam. Metode yang digunakan adalah penelitian kepustakaan, dilakukan dengan cara mengumpulkan dan meneliti data dari buku-buku atau tulisan yang sesuai dengan pembahasannya ke dalam sumber primer dan sumber sekunder. Hasil penelitian ini berdasarkan penelitian dua buku dengan tema yang sama yaitu ada hubungan nilai-nilai agama islam dengan pola hidup sehat. Hal ini sesuai dengan apa yang telah dijelaskan oleh para ahli kesehatan bahkan Organisasi Kesehatan Dunia (WHO) yang harus menyeimbangkan kesehatan jasmani (fisik) dan kesehatan mental (spiritual) untuk menjalankan aktivitas di dunia. Katakunci: nilai-nilai Islam, gaya hidup sehat, kesehatan
DAMPAK PEMBINAAN AKHLAK TERHADAP SELF CONTROL REMAJA
Authors: Hafifah Wafiq , Hamdanah Hamdanah , Surawan Surawan 
Published: November 2023

Abstract: The teenage phase is a process of searching for one's identity or identity, but the fact is that not all teenagers are able to exercise good self-control. One of the efforts made for teenagers to be able to control themselves is through moral development. The aim of this research is to analyze the impact of moral development on self-control in adolescents. This research uses a qualitative approach regarding the impact of moral development on adolescents in controlling themselves. The aim of this research refers to the impact of moral development on adolescent self-control. The results of the research show that there is a positive impact of moral development on adolescent self-control, namely changes in thought patterns and thought patterns, changes in principles, changes in behavior. Meanwhile, the positive impact on other people is the impact on family and society. Keywords: Moral Development, Self Control, Youth Abstrak: Fase remaja merupakan proses pencarian jati diri atau identitas diri, namun faktanya tidak semua remaja mampu melakukan pengendalian diri dengan baik. Salah satu upaya yang dilakukan pada remaja agar mampu mengendalikan diri adalah melalui pembinaan akhlak. Tujuan penelitian ini adalah untuk menganalisis dampak pembinaan akhlak terhadap self-control pada remaja. Penelitian ini menggunakan pendekatan kualitatif mengenai dampak perkembangan moral pada remaja dalam mengendalikan diri. Tujuan penelitian ini mengacu pada dampak perkembangan moral terhadap pengendalian diri remaja. Hasil penelitian menunjukkan adanya dampak positif dari adanya perkembangan moral terhadap pengendalian diri remaja yaitu perubahan pola pikir dan pola pikir, perubahan prinsip, perubahan perilaku. Sedangkan dampak positifnya bagi orang lain adalah dampaknya terhadap keluarga dan masyarakat. Kata Kunci: Pembinaan Akhlak, Self Control, Remaja
STRATEGI PEMBELAJARAN INKUIRI PADA MATA PELAJARAN AKIDAH AKHLAK
Authors: Neliwati Neliwati , Oktafera Annisa , Fauziyah Nur , Putri Anisa 
Published: November 2023

Abstract: The aim of this research is to describe the use of inquiry methods in learning moral beliefs. This inquiry-based learning approach focuses on giving students the freedom to think critically, by giving them the opportunity to find their own information and solve their own problems to provide more interesting learning and make students feel included in the process. Because students must have broad or free connections, inquiry learning is very important for them. Through this learning method, they will gain good and practical ideas, develop group cohesion, and form friendships with other people from different social groups. The method used is a qualitative procedure which includes descriptive and analytical data collection. The results of this research are that this inquiry-based learning approach can encourage children to think more critically. The novelty of this research is that students can think independently and take full advantage of their cognitive abilities by using inquiry learning techniques. Therefore, the inquiry learning approach is very beneficial for students because it gives them the opportunity to debate and develop problem solving skills. Keywords: Inquiry Learning, akidah akhlak Abstrak: Tujuan penelitian ini adalah untuk mendeskripsikan penggunaan metode inkuiri dalam pembelajaran akidah akhlak. Pendekatan pembelajaran berbasis inkuiri ini berfokus pada memberikan kebebasan kepada siswa untuk berpikir kritis, dengan memberikan kesempatan kepada mereka untuk menemukan informasi sendiri dan menyelesaikan permasalahannya sendiri untuk memberikan pembelajaran yang lebih menarik dan membuat siswa merasa diikutsertakan dalam proses tersebut. Karena siswa harus mempunyai ikatan yang luas atau bebas, maka pembelajaran inkuiri sangat penting bagi mereka. Melalui metode pembelajaran ini, mereka akan memperoleh ide-ide yang baik dan praktis, mengembangkan kohesi kelompok, dan menjalin persahabatan dengan orang lain dari kelompok sosial yang berbeda. Metode yang digunakan adalah prosedur kualitatif yang meliputi pengumpulan data deskriptif dan analitis. Hasil dari penelitian ini yaitu pendekatan pembelajaran berbasis inkuiri ini dapat mendorong anak untuk berpikir lebih kritis. Kebaruan dari penelitian ini yaitu bahwa siswa dapat berpikir mandiri dan memanfaatkan sepenuhnya kemampuan kognitifnya dengan menggunakan teknik pembelajaran inkuiri. Oleh karena itu, pendekatan pembelajaran inkuiri sangat bermanfaat bagi siswa karena memberikan kesempatan kepada mereka untuk berdebat dan mengembangkan keterampilan pemecahan masalah. Kata Kunci: Pembelajaran Inkuiri, akidah akhlak
THE EFFECTIVENESS OF PICTURE STORY BOOK APPLICATION TO WARDS UNDERSTANDING CULTURAL DIVERSITY IN ELEMENTARY SCHOOL LEVEL
Authors: Prasetia Hendra 
Published: November 2023

This study is aimed designed to test effectiveness of picture story book towards understanding Cultural diversity. The Research is proceeded as Experimented Research System with pre-test post-test control group design. The Subjects of this research are students grade IV Elementary School. The Data Collection of the research is used with tests. The Research Instrument is questionnaire with test questions about Cultural diversity. Hypothetical Measurement is applied in Wilcoxon. The Result of this Research states that the application of picture story book towards understanding Cultural Diversity is reached effective. The result is shown by Differentiations Grades by the class used Picture Books and not. The Distinctions received from Significance Test with 0,031 determined lower than 0,05 can be concluded that there are differences in the results of the pre-test and post-test in this experimental class group. Based on the results of the study in the control class, it was obtained that the significance value of 0.055 was greater than 0.05, so it any difference between the pre and post test results. It can be concluded that the use of picture story books is effective in understanding the cultural diversity of fourth grade elementary school students.
Comparative Transcriptome Analysis Reveals the Molecular Mechanisms of Acetic Acid Reduction by Adding NaHSO3 in Actinobacillus succinogenes GXAS137
Authors: Li Shiyong , Song Chaodong , Zhang Hongyan , Qin Yan , Jiang Mingguo , Shen Naikun 
Published: November 2023

Abstract
Acetic acid (AC) is a major by-product from fermentation processes for producing succinic acid (SA) using Actinobacillus succinogenes. Previous experiments have demonstrated that sodium bisulfate (NaHSO3) can significantly decrease AC production by A. succinogenes GXAS137 during SA fermentation. However, the mechanism of AC reduction is poorly understood. In this study, the transcriptional profiles of the strain were compared through Illumina RNA-seq to identify differentially expressed genes (DEGs). A total of 210 DEGs were identified by expression analysis: 83 and 127 genes up-regulated and down-regulated, respectively, in response to NaHSO3 treatment. The functional annotation analysis of DEGs showed that the genes were mainly involved in carbohydrates, inorganic ions, amino acid transport, metabolism, and energy production and conversion. The mechanisms of AC reduction might be related to two aspects: (i) the lipoic acid synthesis pathway (LipA, LipB) was significantly down-regulated, which blocked the pathway catalyzed by pyruvate dehydrogenase complex to synthesize acetyl-coenzyme A (acetyl-CoA) from pyruvate; (ii) the expression level of the gene encoding bifunctional acetaldehyde-alcohol dehydrogenase was significantly up-regulated, and this effect facilitated the synthesis of ethanol from acetyl-CoA. However, the reaction of NaHSO3 with the intermediate metabolite acetaldehyde blocked the production of ethanol and consumed acetyl-CoA, thereby decreasing AC production. Thus, our study provides new insights into the molecular mechanism of AC decreased underlying the treatment of NaHSO3 and will deepen the understanding of the complex regulatory mechanisms of A. succinogenes.
Penyuluhan dan Rehabilitasi Hutan Mangrove dalam Upaya Mencegah Bencana Banjir di Perairan Desa Waiheru
Authors: Natsir Nur Alim , AF Asyik Nur Allifah 
Published: November 2023

The Mangrove Ecosystem is an ecosystem that has unique and distinctive characteristics. The potential for biodiversity that has attracted all groups to take advantage of it so that the population and diversity is reduced. Awareness of the importance of mangrove ecosystems is not fully owned by the community due to several factors including knowledge about the role of mangroves in life and solutions to restore mangrove populations. The service program is carried out in collaboration with the Maritime Zone Marine Security Agency (BAKAMLA) of the Ambon Maritime Zone and the Waiheru Village community. The purpose and benefits of this service activity are to provide counseling about the importance of maintaining coastal ecosystems, especially mangroves, provide knowledge about how to plant mangroves, build public awareness to pay more attention to the environment and maintain ecosystems, one of the activities that can preserve the balance of the mangrove ecosystem, and provide knowledge to the community. students who are directly involved in the mangrove planting process. The methods used include counseling and planting mangroves in beach of Waiheru Village, Ambon. The results of the service show the extraordinary attention of the community with the planting of mangroves and the message of the importance of mangroves on the coast is conveyed so that it changes people's behavior so that they always protect the coastal environment and utilize mangroves by not exceeding the limit. Keywords: mangrove, coastal, ecosystem, BAKAMLA, population
KOMBINASI PEMBERIAN JUS JAMBU BIJI MERAH DAN MADU TERHADAP PENINGKATAN KADAR HB PADA IBU HAMIL
Authors: Saidah Halimatus 
Published: November 2023

ABSTRAK
Anemia adalah kondisi dimana sel darah merah (eritrosit) menurun atau menurunnya hemoglobin, sehingga kapasitas daya angkut oksigen untuk kebutuhan organ pada ibu dan janin berkurang, Data dari Puskesmas Mrican pada bulan januari â€“ maret tahun 2017 didapatkan jumlah ibu hamil di kelurahan Mrican dan Dermo yang mengalami anemia berjumlah 19 ibu hamil. Diantarannya di kelurahan mrican 12 ibu denganHB 7,6 - 8,8 gr/dl, dan di kelurahan Dermo 7 ibu dengan HB10,1 - 10,9 gr/dl..Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian kombinasi jus jambu biji merah dan madu terhadap peningkatan kadar hemoglobin pada ibu hamil. Desain penelitian ini merupakan penelitian eksperimen dengan pendekatan One group pre test-post test Design dengan sampel sebanyak 18 ibu hamil yang mengalami anemia, analisa penenelitian menggunakan uji t-test. Hasil penelitian didapatkan Kadar Hb ibu sebelum mengkonsumsi kombinasi jus jambu biji merah dan madu rata â€“rata 9,19 gr/dl, Kadar Hb ibu sesudah mengkonsumsi kombinasi jus jambu biji merah dan madu yaitu 10,4 gr/dl. Hasil uji t-test dengan taraf signifikansi Î±=0,05 didapatkan p_value = 0,000 (p_value < Î± (0,05)) sehingga disimpulkan ada pengaruh pemberian kombinasi jus jambu biji merah dan madu terhadap peningkatan kadar Hb ibu hamil
Kata Kunci : Kombinasi Jus Jambu Biji Merah dan Madu, Anemia, Ibu Hamil
Abstract
Anemia is a condition in which red blood cells (erythrocytes) decreases or decreases in hemoglobin, so the oxygen transport capacity for the organs of the mother and fetus is reduced. Data from the Mrican Puskesmas in january-March 2017 found the number of pregnant women in the Mrican and Dermo villages experienced anemia of 19 pregnant women. In mrican village, 12 mothers with HB 7.6 - 8.8 gr / dl, and in Dermo 7 mothers with HB 10,1 - 10,9 gr / dl. The purpose of this study was to determine the effect of combination of guava juice and honey on elevated levels of hemoglobin in pregnant women. The design of this study is an experimental study with One group pre-test-post test design approach with 18 pregnant women who have anemia, the research is using t-test. The result showed that mother's Hb level before consume combination of red guava juice and honey average 9,19 gr / dl, mother's Hb content after consuming combination of guava juice of red and honey is 10.4 gr / dl. Result of t-test with significance level Î± = 0,05 got p_value = 0,000 (p_value <Î± (0,05)) so it concluded there is influence of combination of guava juice red and honey to increase pregnant women Hb levelKeywords: Combination of Guava and Red Guava Juice, Anemia, Pregnant Mother
Hubungan Dukungan Keluarga Dengan Kejadian Depresi Pada Remaja Awal
Authors: Rahmawati Teti , Rahmayanti Yunita Eka 
Published: November 2023

Remaja mengalami berbagai perubahan yaitu fisik, emosional, sosial, dan kognitif yang menyebabkan munculnya berbagai permasalahan. Salah satunya ialah depresi. Selain itu, remaja mengalami berbagai stressor sehingga dibutuhkan dukungan untuk mengatasinya, terutama dukungan dari orang tua. Penelitian ini bertujuan untuk mengidentifikasi adanya hubungan dukungan keluarga dengan kejadian depresi pada remaja awal di SMPN 106 Jakarta Timur. Penelitian ini adalah penelitian deskriptif analitik dengan pendekatan â€Cross Sectionalâ€. Jumlah sample yang diperoleh sebanyak 176 siswa di SMPN 106 Jakarta Timur dengan teknik sampling yang digunakan adalah Stratified Random Sampling. Hasil analisis data menggunakan uji chi squre dengan tingkat keperacayaan 95 % (p-value = 0,05). Hasil dari penelitian ini menunjukan p-value = 0,010 (<0,05), berarti hal ini menunjukan bahwa terdapat hubungan yang signifikan antara dukungan keluarga dengan kejadian depresi pada remaja awal di SMPN 106 Jakarta Timur. Rekomendasi penelitian adalah mengadakan penyuluhan tentang kesehatan mental, deteksi dini remaja yang beresiko mengalami depresi, dan mengadakan program PIK-R
Left heart remodelling in hypertensive patients: a comprehensive echocardiography and computed tomography study
Authors: Lange Aleksandra , Palka Viktoria , Bian Chris , Huntress Harry , Morgan Jill , Allwood Sean , Swann Rohan , Palka Przemysław 
Published: November 2023

ObjectivesThis study aimed to assess left heart remodelling changes in hypertension, excluding underlying ischaemic heart disease, utilising computed tomography coronary angiography (CTCA) and transthoracic echocardiography (TTE).MethodsA total of 178 patients (mean age 60 ± 9 years, 53% female) were enrolled in the study: Group 1 consisted of patients with essential hypertension (n = 96, Group 1), and Group 2 served as age-matched controls (n = 82, Group 2). All participants underwent both CTCA and TTE. TTE measurements included left ventricle (LV) concentricity and function and left atrial (LA) volume and function. Using both CTCA and TTE, we measured LV diastasis volume (LVdias) and LA diastasis volume (LAdias).ResultsLV mass index and LV mass/height2.7 were similar in both the groups. However, Group 1 had a higher prevalence of concentric LV remodelling, characterised by a larger mean LV wall thickness, increased relative wall thickness ratio, and a reduced ratio of LV end-diastolic volume (LVED) index to mean wall thickness (55 ± 14 vs. 65 ± 15, p = 0.0007). Group 1 showed higher LAdias and LA minimal volumes, while LA reservoir function was lower in Group 2. The LVdias/LAdias ratio was lower in Group 1 compared to Group 2 (TTE 1.77 ± 0.61 vs. 2.24 ± 1.24, p = 0.0025, CTCA 1.50 ± 0.23 vs. 1.69 ± 0.41, p = 0.0002). A composite score based on four combined TTE parameters, namely, LVED index/mean wall thickness ≤57, ratio of early diastolic mitral inflow to mitral annular tissue velocities (E/e’) &gt;8, LVdias/LAdias ≤1.62, and LA reservoir function ≤0.58, yielded the highest discriminatory power (area under the curve—AUC = 0.772) for distinguishing patients with hypertensive heart disease (HHD). Collectively, we refer to these parameters as the LEDA score, with each parameter scored as one point. For LEDA scores of 0, 1, 2, 3, 4, the probability of underlying HHD was 0%, 23%, 59%, 80%, and 95%, respectively. Furthermore, a CTCA-derived LVdias/LAdias ≤1.76, considered as a single parameter, demonstrated modest accuracy in differentiating patients with HHD (AUC = 0.646).ConclusionsThe TTE LEDA score, based on four parameters, namely, LVED index/mean wall thickness, E/e’, LVdias/LAdias, and LA reservoir function, proved to be the most effective in defining left heart remodelling in hypertension.
Force-controlled pose optimization and trajectory planning for chained Stewart platforms
Authors: Beach Benjamin , Chapin William , Chapin Samantha , Hildebrand Robert , Komendera Erik 
Published: November 2023

Introduction:We study optimization methods for poses and movements of chained Stewart platforms (SPs) that we call an “Assembler” Robot. These chained SPs are parallel mechanisms that are stronger, stiffer, and more precise, on average, than their serial counterparts at the cost of a smaller range of motion. By linking these units in a series, their individual limitations are overcome while maintaining truss-like rigidity. This opens up potential uses in various applications, especially in complex space missions in conjunction with other robots.Methods:To enhance the efficiency and longevity of the Assembler Robot, we developed algorithms and optimization models. The main goal of these methodologies is to efficiently decide on favorable positions and movements that reduce force loads on the robot, consequently minimizing wear.Results:The optimized maneuvers of the interior plates of the Assembler result in more evenly distributed load forces through the legs of each constituent SP. This optimization allows for a larger workspace and a greater overall payload capacity. Our computations primarily focus on assemblers with four chained SPs.Discussion:Although our study primarily revolves around assemblers with four chained SPs, our methods are versatile and can be applied to an arbitrary number of SPs. Furthermore, these methodologies can be extended to general over-actuated truss-like robot architectures. The Assembler, designed to function collaboratively with several other robots, holds promise for a variety of space missions.