bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perbedaan Metode Supervisi Klinik Dan Metode Konvensional Terhadap Keterampilan Klinis Mahasiswa Program Studi DIII Kebidanan Politeknik Kesehatan TNI AU Ciumbuleuit
Authors: Rayuna Metha Solihati , Suwarsa Oki , Desy Arya Insi Farisa 
Published: January 2023

Sikap profesional merupakan harapan masyarakat dan stakeholders terhadap profil seorang bidan. Survey tentang kinerja bidan yang telah dilakukan oleh tim Ikatan Bidan Indonesia (IBI) melalui pendekatan kualitatif menunjukkan bahwa pada dasarnya masyarakat mengharapkan bidan yang ramah, terampil dan tanggap dibidangnya. Hal tersebut tidak terlepas dari peran dunia pendidikan bidan yang mendukung dengan memberikan pembelajaran klinik yang berkualitas salah satunya dengan menetapkan metode bimbingan klinik yang relevan dengan kondisi nyata di lahan praktik. Supervisi klinik merupakan suatu metode bimbingan yang bisa digunakan oleh dosen pada saat mahasiswa melaksanakan praktik klinik. Tujuan penelitian ini mengukur perbedaan metode supervisi klinik dan konvensional terhadap keterampilan klinis mahasiswa program studi DIII Kebidanan Kebidanan Politeknik Kesehatan TNI AU Ciumbuleuit Bandung.
Metode penelitian yang digunakan adalah quasi experimental design dengan rancangan non randomized control group pretest posttest design. Sampel pada penelitian adalah 24 orang mahasiswa pada kelompok perlakuan dan 24 orang pada kelompok kontrol. Data dianalisis dengan menggunakan uji Mann Whitney untuk mengukur perbedaan rerata antara dua kelompok.
Hasil penelitian menunjukkan terdapat perbedaan antara kelompok supervisi klinik dan kelompok kontrol nilai p <0,05 untuk keseluruhan keterampilan. Penelitian juga menunjukkan adanya peningkatan nilai pada kelompok supervisi klinik dibandingkan dengan kelompok kontrol.
Pengetahuan Mobilisasi Pada Pasien Pasca Operasi Di Ruang Gelatik Dan Rajawali Di RSAU Dr. M. Salamun
Authors: Herawati Tuti , Kania Dhea Aprilla Putri , Utami Desi Sundari 
Published: January 2023

Tindakan bedah menempati urutan ke 11 dari 50 pertama penyakit di rumah sakit se-Indonesia dengan persentase 12,8% yang diperkirakan 32%. Tujuan penelitian ini adalah untuk mengetahui gambaran pengetahuan mobilisasi pada pasien pasca operasi. Penelitian ini dilaksanakan di ruarng Gelatik dan Rajawali RSAU dr. M. Salamun. Populasi penelitian ini adalah seluruh pasien pasca operasi di ruang
Gelatik dan Rajawali RSAU dr. M. Salamun dengan jumlah sempel 64 responden. Pengetahuan (knowledge) adalah hasil tahu dari manusia, yang sekadar menjawab pertanyaan “what”, misalnya apa air dan apa alam. Mobilisasi adalah kemampuan individu untuk bergerak secara bebas, mudah dan teratur. Metode penelitian yang digunakan yaitu deskriftif kuantitatif. Pengumpulan data dilakuan menggunakan kuisioner, dengan sampel accidental sampling Analisa data dimulai dengan mengumpulkan data, uji validitas, penelitian, mengelompokan data, kemudian melakukan pengolahan data. Hasil penelitian didapatkan bahwa kurangnya pengetahuan tentang mobilisasi pada pasien pasca operasi sebanyak (47%) sebagian lagi menunjukan cukup sebanyak (42%) dan baik hamya (11%). Saran kepada RSAU dr. M. Salamun diharapkan dapat meningkatkan mutu pelayanan dan asuhan keperawatan pada pasien pasca operasi dalam memberikan pengetahuan pada pasien pasca operasi tentang mobilisasi.
Perceptions on the Single National Curriculum for English as a Second Language for Primary Grades
Authors: Dr. Maroof Bin Rauf  , Dr. Alia Ayub  , Bushra Batool  
Published: January 2023

This study's purpose is to interpret the SNC's goal of teaching English as a second language in primary grades across the country. The study is qualitative and uses content analysis to explore SNC's creative aspects. The curriculum clearly aims to improve students' communication skills in English as a second language and make them confident speakers. Along with this, curriculum intent to instill ethical, social, and universal values in Pakistani students through themes and subthemes such as harmony and community solidarity, ideology, religious pluralism, compassion, justice, and dispute resolution to achieve sustainable development goal - SDG 4. SNC is also compared with the Cambridge Curriculum of English as a second language and is found aligned in terms of curriculum approach and skill development however; this paper proposes the professional development of the teachers in the form of pre service and post service workshops for language development and teaching pedagogies of the teachers. This paper also identified the need of print and digital teaching resources to address the need of the teachers and learners. The SNC's vision can only be accomplished if the suggested assessment technique is used, hence revamping the examination system should be prioritized.
Care Homes in Spain in the COVID-19 Pandemic
Authors: Di Lollo Maria Ximena , Cocina Elena Estrada , De Bartolome Gisbert Francisco , González Juarez Raquel , Garcia Mingo Ana 
Published: January 2023

When the COVID-19 pandemic struck in early 2020, it rapidly became apparent that
older individuals were at greater risk of serious illness and death. The risk
was even greater for residents in care homes, who live in close proximity and
may be suffering other comorbidities. Such facilities also saw a high turnover
of staff and visitors, meaning an increased risk of transmission. Data has
suggested that care home residents may account for up to a half of all
COVID-related deaths in Spain.
As morbidity and mortality for COVID-19 was increasing in March 2020, MSF offered
support to Spanish care homes during the first wave of infections. Our
intervention included different axes: advocacy, knowledge sharing, training and
implementation of measures for a reduction in transmission and for infection
prevention and control (IPC).
The situation for care home residents was dire, with many people dying alone,
away from loved ones and without access to palliative care. Staff were
overwhelmed and ill-equipped to deal with the scale and complexity of this
tragedy.
Although technical interventions to reduce transmission were crucial, it became
clear that other people-centred activities that supported residents, their
families and staff, were of equal importance, including facilitating contact
between families, providing emotional support and offering adequate pain
management and palliative care.
Residents in care homes have the same rights as everyone else. In the event of
future crises, the most vulnerable should not be neglected.
Early Prediction of Asymptomatic Cardiac Insult in Pediatric Patients with Lysosomal Storage Diseases
Authors: Abuzaid Yasmine , Dawoud Heba El Sayed , Suliman Ghada Abdul Moemn , Badreldeen Alshimaa , Toulba Osama Abd Rab El Rasool , Elezz Ahmed Abd El Basset Abo 
Published: January 2023

Introduction: An essential separate and curable cause of cardiomyopathy, lysosomal storage disorders are defined by the increasing buildup of undigested material within lysosomes, which causes cellular dysfunction in a variety of organs, including the heart. Due to the function of oxidative stress in many inborn errors of metabolism, many studies are evaluating oxidative stress and hence the role of antioxidants in patients with LSDs.
The Aim of This Study: Was to perform a comprehensive evaluation of cardiac function in patients with a lysosomal storage disease and measure a biomarker that could be associated with impaired cardiac function and correlate this biomarker with echo findings.
Patients and Methods: This were a prospective case-control study including 30 patients with LSDs and an equal number of healthy individuals of matched age and sex who served as the control group. The study was conducted at the Pediatric Department of Tanta University Hospital's Medical Genetics and IEM Unit. All participants were subjected to a comprehensive history and physical examination, serum NT-proBNP, and comprehensive cardiac evaluation was done using tissue Doppler imaging and speckling tracking echo.
Results: There was evidence of subclinical diastolic and systolic dysfunction in patients who had no symptoms with LSDs assessed by STE and TDI in comparison with the healthy controls. Patients with LSDs had significantly higher levels of serum NT-proBNP than controls.
Conclusion: These findings suggest that patients with LSDs have a subclinical cardiomyopathy as compared to healthy controls.
The Influence of the Use of Rotary Photo Tables for the Presentation of Goods on the Volume of their Sale in Online Stores
Authors: Petrov Dmitriy 
Published: January 2023

Aims: The purpose of this article was to confirm the dependence between the volume of sales of goods by online stores and the use of rotary photo tables for the presentation of goods, using mathematical methods and models. The use of correlation-regression analysis to assess economic processes and trends, as well as the development of a model of dependence between the volume of sales of goods by an online store and the use of rotary photo tables for the presentation of goods.
Study Design: In order to determine the relationship between the volume of sales of goods in the online store and the use of rotary photo tables for the presentation of goods, an economic and mathematical modeling was carried out in the work based on the database of online stores «Yin.gold», «Nihaoejwelry Wholesale Store», «W.P. Jewellery».
Methodology: The following methods were used in this research: analysis, synthesis, induction, deduction, comparison, grouping, methods of mathematical modeling and mathematical statistics. The use of these methods is aimed at achieving the tasks set in the research. The information base of the research consists of the works of recognized specialists, as well as data from the online stores «Yin.gold», «Nihaoejwelry Wholesale Store», «W.P. Jewellery».
Results: On the basis of mathematical methods (correlation-regression analysis), it was confirmed an actual dependence between the volume of sales of goods by online stores and the number of goods that are presented with the help of photos and videos made with the use of rotary tables for photography. The economic effect of using rotary photo tables for object photography for the investigated online stores is quantified.
Conclusion: The conducted research confirmed the high importance of using rotary photo tables for the presentation of goods in the online store. The economic interpretation of the parameters of each of the built models shows that the increase in the number of products presented on the website of the online store with the use of rotary tables for photography leads to an increase in the volume of sales.
Predisposing and Precipitating Factors Associated With Delirium
Authors: Ormseth Cora H. , LaHue Sara C. , Oldham Mark A. , Josephson S. Andrew , Whitaker Evans , Douglas Vanja C. 
Published: January 2023

ImportanceDespite discrete etiologies leading to delirium, it is treated as a common end point in hospital and in clinical trials, and delirium research may be hampered by the attempt to treat all instances of delirium similarly, leaving delirium management as an unmet need. An individualized approach based on unique patterns of delirium pathophysiology, as reflected in predisposing factors and precipitants, may be necessary, but there exists no accepted method of grouping delirium into distinct etiologic subgroups.ObjectiveTo conduct a systematic review to identify potential predisposing and precipitating factors associated with delirium in adult patients agnostic to setting.Evidence ReviewA literature search was performed of PubMed, Embase, Web of Science, and PsycINFO from database inception to December 2021 using search Medical Subject Headings (MeSH) terms consciousness disorders, confusion, causality, and disease susceptibility, with constraints of cohort or case-control studies. Two reviewers selected studies that met the following criteria for inclusion: published in English, prospective cohort or case-control study, at least 50 participants, delirium assessment in person by a physician or trained research personnel using a reference standard, and results including a multivariable model to identify independent factors associated with delirium.FindingsA total of 315 studies were included with a mean (SD) Newcastle-Ottawa Scale score of 8.3 (0.8) out of 9. Across 101 144 patients (50 006 [50.0%] male and 49 766 [49.1%] female patients) represented (24 015 with delirium), studies reported 33 predisposing and 112 precipitating factors associated with delirium. There was a diversity of factors associated with delirium, with substantial physiological heterogeneity.Conclusions and RelevanceIn this systematic review, a comprehensive list of potential predisposing and precipitating factors associated with delirium was found across all clinical settings. These findings may be used to inform more precise study of delirium’s heterogeneous pathophysiology and treatment.
Outcomes of Patients With Atrial Fibrillation Following Thrombectomy for Stroke
Authors: Kobeissi Hassan , Ghozy Sherief , Seymour Trey , Gupta Rishabh , Bilgin Cem , Kadirvel Ramanathan , Rabinstein Alejandro A. , Kallmes David F. 
Published: January 2023

ImportancePatients with atrial fibrillation (AF) treated with mechanical thrombectomy (MT) for acute ischemic stroke (AIS) have been reported to experience worse outcomes compared with patients without AF.ObjectiveTo assess differences between patients with AF and their counterparts without AF treated with MT for AIS, focusing on safety outcomes, clinical outcomes, and baseline characteristics in both groups.Data SourcesA systematic literature review of the English language literature from inception to July 14, 2022, was conducted using Web of Science, Embase, Scopus, and PubMed databases.Study SelectionStudies that focused on patients with and without AF treated with MT for AIS were included. Multiple reviewers screened studies to identify studies included in analysis.Data Extraction and SynthesisData were extracted following the Preferred Reporting Items for Systematic Reviews and Meta-analyses reporting guideline to ensure accuracy. Data were pooled using a random-effects model.Main Outcomes and MeasuresThe primary outcome of interest was rate of modified Rankin Scale (mRS) scores of 0 to 2 at 90 days. Secondary outcomes of interest included rates of successful reperfusion, defined as thrombolysis in cerebral infarction (TICI) scores of 2b to 3, 90-day mortality, symptomatic intracranial hemorrhage (SICH), and baseline patient characteristics.ResultsOf 1696 initially retrieved studies, 10 studies were included, with 6543 patients. Patients with AF were a mean of 10.17 (95% CI, 8.11-12.23) years older (P &amp;lt; .001) and had higher rates of hypertension (OR, 1.89 [95% CI, 1.57-2.27]; P &amp;lt; .001) and diabetes (OR, 1.16 [95% CI, 1.02-1.31]; P = .02). Overall, there were comparable rates of mRS scores of 0 to 2 between patients with AF and patients without AF (odds ratio [OR], 0.72 [95% CI, 0.47-1.10]; P = .13), with significant heterogeneity among the included studies. After sensitivity analysis, the rate of mRS scores of 0 to 2 was significantly lower among patients with AF (OR, 0.65 [95% CI, 0.52-0.81]; P &amp;lt; .001). Successful reperfusion rates were similar between the groups (OR, 1.11 [95% CI, 0.78-1.58]; P = .57). The rate of SICH was similar between groups (OR, 1.05 [95% CI, 0.84-1.31]; P = .68). Mortality was significantly higher in the AF group (OR, 1.47 [95% CI, 1.12-1.92]; P = .005).Conclusions and RelevanceIn this systematic review and meta-analysis, patients with AF experienced worse 90-day outcomes, even in the setting of similar rates of successful reperfusion. This was likely associated with greater age and greater rates of comorbidities among patients with AF.
Optimizing the Electronic Structure of Ruthenium Oxide by Neodymium Doping for Enhanced Acidic Oxygen Evolution Catalysis
Authors: Li Lu , Zhang Gengwei , Xu Jingwen , He Huijie , Wang Bin , Yang Zhimao , Yang Shengchun 
Published: January 2023

AbstractIt is a great challenge to design active and durable oxygen evolution reaction (OER) electrocatalysts for proton exchange membrane (PEM) electrolyzer due to the high dissolution of electrocatalysts in acidic solution. Herein, the Nd‐doped RuO2 (Nd0.1RuOx) is developed for enhanced oxygen evolution in 0.5 m H2SO4 solution with an overpotential of 211 mV to achieve 10 mA cm−2. The theoretical calculation reveals that the improved activity of Nd0.1RuOx is due to the moderate decrease of d‐band center energy, which balances the adsorption and desorption of oxygen intermediates. Moreover, the formation of more high valence state Ru4+ in Nd0.1RuOx is beneficial to the chemical stability of Ru species during the OER process, indicating that the introduction of Nd can effectively suppress the dissolution of Ru in acidic electrolytes. In addition, the PEM electrolyzer using Nd0.1RuOx/CC as the anode can be operated at 10 mA cm−2 stably for 50 h. This study sheds new light on the design of the OER catalysts in acid by engineering the electronic structure of RuO2.
Elastomers Grow into Actuators
Authors: Liang Huan , Wu Yahe , Zhang Yubai , Chen Erqiang , Wei Yen , Ji Yan 
Published: January 2023

AbstractIt is common knowledge that when an elastomer (rubber) is stretched, its length will be maintained if its two ends are fixed. Here, it is serendipitously found that when an elastomer is slowly elongated further to achieve buckling under such conditions, the final length is much longer than the pre‐stretched length. This allows the design of untethered autonomous synthetic‐material‐based soft robots that do not need any other chemical or electrical energy sources or external stimuli after the pre‐strain is installed. Once the growth starts, the elongation continues to proceed even when the applied force is removed. Moreover, the elastomer, after growing, eventually forms a robust soft actuator that can be reshaped for different purposes. Few synthetic materials can grow like this, so far. This investigation shows that the material has an uncommon liquid crystal phase. Contrary to normal liquid crystals, it becomes birefringent only at high temperatures. The formation and the reshaping of the resulting soft actuators relate to a usually unnoticed reversible reaction. The work is promising to promote further understanding of dynamic covalent chemistry and liquid crystal elastomers, as well as to foster new designs and high‐impact applications of bioinspired sustainable soft actuators in areas other than soft robots.
3D Printing of Self‐Assembling Nanofibrous Multidomain Peptide Hydrogels
Authors: Farsheed Adam C. , Thomas Adam J. , Pogostin Brett H. , Hartgerink Jeffrey D. 
Published: January 2023

Abstract3D printing has become one of the primary fabrication strategies used in biomedical research. Recent efforts have focused on the 3D printing of hydrogels to create structures that better replicate the mechanical properties of biological tissues. These pose a unique challenge, as soft materials are difficult to pattern in three dimensions with high fidelity. Currently, a small number of biologically derived polymers that form hydrogels are frequently reused for 3D printing applications. Thus, there exists a need for novel hydrogels with desirable biological properties that can be used as 3D printable inks. In this work, the printability of multidomain peptides (MDPs), a class of self‐assembling peptides that form a nanofibrous hydrogel at low concentrations, is established. MDPs with different charge functionalities are optimized as distinct inks and are used to create complex 3D structures, including multi‐MDP prints. Additionally, printed MDP constructs are used to demonstrate charge‐dependent differences in cellular behavior in vitro. This work presents the first time that self‐assembling peptides have been used to print layered structures with overhangs and internal porosity. Overall, MDPs are a promising new class of 3D printable inks that are uniquely peptide‐based and rely solely on supramolecular mechanisms for assembly.
Atomic Aerogel Materials (or Single‐Atom Aerogels): An Interesting New Paradigm in Materials Science and Catalysis Science
Authors: Li Zesheng , Li Bolin , Yu Changlin 
Published: January 2023

AbstractThe concept of “single‐atom catalysis” is first proposed by Tao Zhang, Jun Li, and Jingyue Liu in 2011. Single‐atom catalysts (SACs) have a very high catalytic activity and greatly improved atom utilization ratio. At present, SACs have become frontier materials in the field of catalysis. Aerogels are highly porous materials with extremely low density and extremely high porosity. These pores play a key role in determining their surface reactivity and mechanical stability. The alliance of SACs and aerogels can fully reflect their structural advantages and lead to new enhancement effects. Herein, a general concept of “atomic aerogel materials” (AAMs) (or single‐atom aerogels (SAAs)) is proposed to describe this interesting new paradigm in both material and catalysis fields. Based on the basic units of “gel,” the AAMs can be divided into two categories: carrier‐level AAMs (with micro‐, nano‐, or sub‐nanometer pore structures) and atomic‐level AAMs (with atomic‐defective or oxygen‐bridged sub‐nanopore structures). The basic unit of the former (i.e., single‐atom‐functionalized aerogels) is the carrier materials in nanostructures, and the latter (i.e., single‐atom‐built aerogels) is the single metal atoms in atomic structures. The atomic‐defective or oxygen‐bridged AAMs will be important development directions in versatile heterogeneous catalytic or noncatalytic fields. The design proposals, latent challenges, and coping strategies of this new “atomic nanosystem” in applications are pointed out as well.
Retinal Projection Near‐Eye Displays with Huygens’ Metasurfaces
Authors: Song Weitao , Liang Xinan , Li Shiqiang , Moitra Parikshit , Xu Xuewu , Lassalle Emmanuel , Zheng Yuanjin , Wang Yongtian , Paniagua‐Domínguez Ramón , Kuznetsov Arseniy I. 
Published: January 2023

AbstractMost of current commercial near‐eye 3D displays use traditional stereoscopic approach to generate the 3D information. A well‐known issue for this type of technology is the vergence and accommodation conflict, which leads to visual confusion and fatigue for the viewer. To address this problem, a proof‐of‐concept solution based on retinal projection technology has been developed to provide accommodation‐free virtual images by using a small aperture (360 µm × 360 µm) transparent Huygens’ metasurface hologram as the display device. The virtual image is generated using a visible laser illuminating a metasurface hologram, which is then directly projected onto the retina using an optical see‐through eyepiece. Using this concept, this work experimentally demonstrates a compact and wearable near‐eye display of light weight (≈50 g, including spectacle frames, light source, and battery) creating accommodation‐free images (clear ranging from 0.5 to 2 m), overlaid with the real world and directly viewed by naked eye. To do so, a new design method is introduced for retinal projection near‐eye displays that, inherently, is able to solve the vergence‐accommodation conflict using a small aperture Huygens’ metasurface hologram.
N‐Chlorosuccinimide‐Promoted One‐Pot Synthesis of Substituted 4,5‐Dihydroisoxazole‐5‐methanols in Aqueous Medium
Authors: Jia Yunfei , Ablajan Keyume 
Published: January 2023

AbstractHerein, a catalyst‐free method for synthesizing 4,5‐dihydroisoxazole‐5‐methanols is proposed, whereby isoxazolines are constructed through the NCS‐mediated 1,3‐dipolar cycloaddition reaction of aldoximes and allyl alcohol in the presence of K2CO3 at room temperature via a one‐pot route. The reaction was achieved in water medium to introduce a low‐cost direct protocol for synthesizing isoxazolines. This method offers advantages including the use of an oxidant‐free and transition metal‐free approach, broad scope of allyl alcohol and aldoxime substrates, room‐temperature reaction, good to higher yields (42–92%), and involvement of a gram‐scale synthesis.magnified image